| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,423 |
4,250 |
$379K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,600 |
3,308 |
$307K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,506 |
3,926 |
$175K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,754 |
1,313 |
$161K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,199 |
2,002 |
$158K |
| 80053 |
Comprehensive metabolic panel |
6,067 |
5,248 |
$80K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
671 |
505 |
$68K |
| 70450 |
Computed tomography, head or brain; without contrast material |
405 |
370 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
266 |
222 |
$51K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
574 |
558 |
$47K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
331 |
324 |
$28K |
| 84484 |
|
2,311 |
1,652 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
82 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
742 |
703 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
881 |
769 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
729 |
646 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
493 |
478 |
$10K |
| 80061 |
Lipid panel |
566 |
541 |
$10K |
| 11721 |
|
679 |
652 |
$10K |
| G0378 |
Hospital observation service, per hour |
190 |
79 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,862 |
5,731 |
$8K |
| 85379 |
|
382 |
349 |
$5K |
| 83615 |
|
584 |
370 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
338 |
321 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
162 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
140 |
$4K |
| 85027 |
|
460 |
442 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
66 |
24 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
5,332 |
4,206 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
221 |
$3K |
| 95886 |
|
24 |
12 |
$2K |
| 84145 |
|
138 |
124 |
$2K |
| 87040 |
|
245 |
132 |
$2K |
| 83880 |
|
143 |
130 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
123 |
118 |
$2K |
| 20610 |
|
13 |
13 |
$2K |
| 82378 |
|
177 |
160 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
12 |
$2K |
| 87486 |
|
111 |
106 |
$1K |
| 87581 |
|
111 |
106 |
$1K |
| 87631 |
|
57 |
53 |
$1K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
43 |
43 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
543 |
524 |
$1K |
| 83605 |
|
99 |
91 |
$1K |
| 11056 |
|
15 |
13 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
2,027 |
1,853 |
$862.70 |
| 82553 |
|
84 |
82 |
$797.21 |
| 83690 |
|
2,913 |
2,619 |
$539.99 |
| 81001 |
|
3,011 |
2,728 |
$525.09 |
| 86301 |
|
19 |
16 |
$449.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$373.90 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$297.75 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,748 |
2,378 |
$293.91 |
| 82803 |
|
675 |
577 |
$200.61 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$181.71 |
| 82550 |
|
373 |
347 |
$163.43 |
| 82043 |
|
25 |
25 |
$150.39 |
| 85730 |
|
974 |
859 |
$141.01 |
| 94770 |
|
13 |
13 |
$134.44 |
| 85610 |
|
975 |
855 |
$130.76 |
| 84550 |
|
27 |
24 |
$98.88 |
| 85652 |
|
13 |
12 |
$91.50 |
| 80359 |
|
12 |
12 |
$87.48 |
| 80346 |
|
18 |
16 |
$76.57 |
| 80358 |
|
12 |
12 |
$43.76 |
| 80324 |
|
12 |
12 |
$43.76 |
| 80353 |
|
12 |
12 |
$43.76 |
| 80365 |
|
13 |
12 |
$43.76 |
| 80348 |
|
12 |
12 |
$43.76 |
| 80354 |
|
12 |
12 |
$43.76 |
| 80373 |
|
12 |
12 |
$43.76 |
| 80372 |
|
12 |
12 |
$43.76 |
| 73630 |
|
76 |
55 |
$40.07 |
| 94664 |
|
48 |
44 |
$29.25 |
| 36600 |
|
169 |
147 |
$22.08 |
| 81025 |
|
14 |
12 |
$7.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,305 |
1,177 |
$1.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,378 |
1,237 |
$0.46 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,167 |
1,962 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,886 |
1,634 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,150 |
1,044 |
$0.00 |
| 94644 |
|
76 |
69 |
$0.00 |
| 96376 |
|
182 |
93 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
15 |
14 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
13 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
211 |
193 |
$0.00 |
| 72100 |
|
14 |
13 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
27 |
25 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
189 |
144 |
$0.00 |
| 82140 |
|
14 |
14 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
17 |
15 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
13 |
$0.00 |
| 80305 |
|
44 |
41 |
$0.00 |
| 00812 |
|
12 |
12 |
$0.00 |