| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,123 |
7,697 |
$1.09M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,540 |
6,057 |
$845K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
441 |
424 |
$590K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,732 |
1,566 |
$225K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,718 |
2,529 |
$202K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
106 |
105 |
$135K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
408 |
385 |
$121K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
130 |
118 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
401 |
132 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
25 |
$5K |
| 80053 |
Comprehensive metabolic panel |
656 |
605 |
$3K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
125 |
111 |
$3K |
| 97161 |
|
12 |
12 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,504 |
6,824 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
68 |
25 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,536 |
2,312 |
$876.91 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,063 |
989 |
$616.12 |
| 81025 |
|
72 |
66 |
$289.20 |
| 81001 |
|
348 |
324 |
$246.00 |
| 71045 |
Radiologic examination, chest; single view |
708 |
647 |
$145.88 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
563 |
498 |
$59.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
582 |
547 |
$0.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,006 |
1,400 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
656 |
574 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
151 |
142 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
116 |
95 |
$0.00 |
| 81003 |
|
43 |
40 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
36 |
28 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
233 |
225 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
32 |
28 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
104 |
95 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
66 |
27 |
$0.00 |
| 80076 |
|
90 |
80 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,431 |
1,124 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
723 |
621 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
2,482 |
1,303 |
$0.00 |
| J3490 |
Unclassified drugs |
3,516 |
1,626 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
873 |
535 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
758 |
687 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,247 |
973 |
$0.00 |
| 83735 |
|
24 |
24 |
$0.00 |
| 83690 |
|
443 |
399 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
207 |
129 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
32 |
30 |
$0.00 |
| 84484 |
|
78 |
66 |
$0.00 |
| 84703 |
|
58 |
56 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
13 |
12 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
42 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
12 |
$0.00 |