| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,537 |
1,945 |
$302K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
914 |
653 |
$197K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,360 |
1,141 |
$110K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,335 |
679 |
$70K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
382 |
312 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
1,574 |
1,054 |
$42K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
111 |
94 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
343 |
213 |
$26K |
| G0378 |
Hospital observation service, per hour |
285 |
176 |
$22K |
| 80053 |
Comprehensive metabolic panel |
3,811 |
3,168 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,529 |
1,382 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,453 |
3,591 |
$20K |
| 80061 |
Lipid panel |
1,538 |
1,363 |
$18K |
| 72100 |
|
277 |
253 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
179 |
154 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,131 |
879 |
$15K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
557 |
423 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
9,651 |
5,053 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
533 |
484 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
501 |
275 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,034 |
848 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
141 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
294 |
244 |
$7K |
| 82607 |
|
545 |
497 |
$7K |
| 80074 |
|
197 |
168 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
800 |
692 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
334 |
171 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
907 |
686 |
$3K |
| 84439 |
|
475 |
413 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
85 |
69 |
$3K |
| 84436 |
|
563 |
513 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
57 |
29 |
$3K |
| 81001 |
|
1,619 |
1,366 |
$3K |
| 84479 |
|
560 |
518 |
$3K |
| 73562 |
|
100 |
84 |
$2K |
| 73030 |
|
134 |
108 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
27 |
$2K |
| 96376 |
|
154 |
66 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
552 |
388 |
$2K |
| 84484 |
|
763 |
567 |
$2K |
| 83540 |
|
378 |
305 |
$2K |
| 87430 |
|
316 |
293 |
$2K |
| 84703 |
|
453 |
380 |
$2K |
| 82746 |
|
119 |
109 |
$1K |
| 94664 |
|
191 |
145 |
$1K |
| 82728 |
|
138 |
116 |
$1K |
| 73110 |
|
47 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
168 |
$1K |
| 73130 |
|
70 |
56 |
$984.29 |
| 83690 |
|
430 |
373 |
$974.21 |
| 80305 |
|
238 |
195 |
$940.32 |
| 73630 |
|
65 |
58 |
$928.01 |
| 83550 |
|
165 |
140 |
$908.50 |
| 72040 |
|
44 |
37 |
$808.37 |
| 86038 |
|
72 |
60 |
$734.83 |
| 83735 |
|
225 |
196 |
$733.32 |
| 73610 |
|
34 |
28 |
$674.15 |
| 85610 |
|
273 |
199 |
$545.63 |
| 82948 |
|
281 |
106 |
$486.24 |
| 82150 |
|
131 |
117 |
$437.03 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
19 |
14 |
$378.00 |
| 82550 |
|
68 |
64 |
$367.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
716 |
452 |
$353.06 |
| 87040 |
|
143 |
113 |
$329.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
198 |
149 |
$301.03 |
| 84153 |
|
19 |
15 |
$283.83 |
| 80320 |
|
33 |
24 |
$271.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
782 |
582 |
$234.55 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
460 |
303 |
$231.73 |
| 85652 |
|
137 |
122 |
$230.18 |
| 87186 |
|
51 |
42 |
$180.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
284 |
196 |
$174.29 |
| J2704 |
Injection, propofol, 10 mg |
53 |
34 |
$144.29 |
| 84550 |
|
50 |
39 |
$139.20 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
56 |
29 |
$119.04 |
| 87077 |
|
42 |
28 |
$105.67 |
| 36600 |
|
30 |
14 |
$105.27 |
| 82043 |
|
23 |
20 |
$81.72 |
| 85730 |
|
30 |
27 |
$72.53 |
| 86431 |
|
16 |
12 |
$67.20 |
| 85379 |
|
16 |
13 |
$60.28 |
| 82803 |
|
13 |
12 |
$52.14 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
21 |
18 |
$42.36 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
115 |
55 |
$40.31 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
13 |
$11.18 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
15 |
$2.13 |