| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,124 |
3,569 |
$462K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,508 |
2,064 |
$315K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
329 |
240 |
$133K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
265 |
211 |
$75K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
468 |
379 |
$72K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
65 |
40 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
113 |
92 |
$28K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,043 |
912 |
$23K |
| 64493 |
|
71 |
65 |
$22K |
| 27096 |
|
54 |
48 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
159 |
125 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,094 |
1,733 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
316 |
271 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,568 |
2,091 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
146 |
134 |
$10K |
| 87081 |
|
564 |
431 |
$10K |
| 80061 |
Lipid panel |
487 |
428 |
$9K |
| 64635 |
|
51 |
38 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
162 |
123 |
$8K |
| 64636 |
|
58 |
38 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,384 |
1,932 |
$7K |
| 87088 |
|
449 |
378 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
548 |
481 |
$7K |
| J3490 |
Unclassified drugs |
903 |
801 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
245 |
189 |
$6K |
| 85027 |
|
448 |
382 |
$5K |
| 64494 |
|
72 |
53 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,068 |
868 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
191 |
164 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
162 |
123 |
$4K |
| 73630 |
|
73 |
65 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
591 |
476 |
$4K |
| 84439 |
|
286 |
247 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
123 |
108 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
596 |
483 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
92 |
$3K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
70 |
67 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
798 |
545 |
$1K |
| 81001 |
|
1,191 |
942 |
$1K |
| 87077 |
|
119 |
99 |
$1K |
| 83735 |
|
213 |
180 |
$780.76 |
| 71045 |
Radiologic examination, chest; single view |
299 |
257 |
$737.96 |
| 85610 |
|
133 |
80 |
$687.04 |
| 87660 |
|
29 |
25 |
$681.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
830 |
382 |
$592.48 |
| 64490 |
|
15 |
12 |
$539.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
573 |
414 |
$525.33 |
| 82607 |
|
24 |
24 |
$492.89 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
29 |
24 |
$443.93 |
| 86901 |
|
13 |
13 |
$376.56 |
| 83690 |
|
553 |
420 |
$358.50 |
| 80076 |
|
30 |
25 |
$348.54 |
| 87480 |
|
29 |
25 |
$289.12 |
| 01936 |
|
19 |
15 |
$276.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
471 |
339 |
$274.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
137 |
114 |
$267.37 |
| 86780 |
|
15 |
13 |
$249.10 |
| 87510 |
|
29 |
25 |
$222.40 |
| 86850 |
|
13 |
13 |
$188.27 |
| 84484 |
|
214 |
169 |
$177.96 |
| 86900 |
|
12 |
12 |
$166.96 |
| 86803 |
|
15 |
13 |
$163.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
251 |
224 |
$140.36 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
352 |
145 |
$127.00 |
| 73610 |
|
16 |
12 |
$122.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
183 |
$102.63 |
| 81025 |
|
241 |
148 |
$97.01 |
| 84703 |
|
57 |
42 |
$60.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,112 |
1,815 |
$45.15 |
| 82962 |
|
915 |
756 |
$43.92 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
181 |
119 |
$27.50 |
| J2704 |
Injection, propofol, 10 mg |
1,379 |
1,081 |
$21.59 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
271 |
211 |
$16.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
347 |
227 |
$9.03 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
256 |
162 |
$7.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
277 |
186 |
$5.59 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
464 |
348 |
$3.58 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
479 |
415 |
$3.09 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
467 |
430 |
$0.44 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
686 |
510 |
$0.41 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
158 |
136 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
28 |
27 |
$0.00 |
| 87634 |
|
23 |
21 |
$0.00 |
| 99152 |
|
61 |
57 |
$0.00 |
| 00731 |
|
50 |
26 |
$0.00 |