| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,533 |
2,413 |
$842K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,620 |
1,515 |
$658K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,132 |
1,084 |
$235K |
| G0378 |
Hospital observation service, per hour |
188 |
167 |
$209K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
501 |
482 |
$150K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
103 |
103 |
$127K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,600 |
357 |
$112K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
80 |
80 |
$101K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
866 |
215 |
$51K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
446 |
334 |
$40K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,021 |
932 |
$34K |
| 95886 |
|
83 |
83 |
$32K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
289 |
90 |
$31K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
166 |
142 |
$26K |
| OP259 |
|
3,000 |
2,339 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,692 |
2,221 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
279 |
276 |
$20K |
| 80053 |
Comprehensive metabolic panel |
2,431 |
2,082 |
$19K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
487 |
129 |
$19K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
15 |
12 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
344 |
333 |
$16K |
| OP279 |
|
1,256 |
1,053 |
$16K |
| 92587 |
|
82 |
81 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
287 |
220 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
604 |
571 |
$14K |
| 92557 |
|
45 |
44 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
907 |
885 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
478 |
379 |
$10K |
| 92567 |
|
104 |
103 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
527 |
481 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
280 |
212 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,073 |
1,892 |
$9K |
| 95819 |
|
12 |
12 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
379 |
310 |
$9K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
460 |
411 |
$9K |
| 81003 |
|
1,764 |
1,639 |
$8K |
| 97010 |
|
1,110 |
267 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
24 |
$6K |
| 93971 |
|
35 |
35 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
57 |
57 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
149 |
148 |
$5K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
118 |
108 |
$5K |
| 97162 |
|
63 |
63 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
322 |
314 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
76 |
25 |
$5K |
| 76830 |
Ultrasound, transvaginal |
88 |
88 |
$4K |
| OP379 |
|
136 |
135 |
$4K |
| 84484 |
|
502 |
423 |
$4K |
| 97161 |
|
59 |
59 |
$4K |
| OP272 |
|
340 |
333 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
116 |
114 |
$3K |
| 83690 |
|
823 |
772 |
$3K |
| 81025 |
|
1,182 |
1,094 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
50 |
$3K |
| 85610 |
|
484 |
455 |
$3K |
| 82550 |
|
296 |
281 |
$2K |
| OP710 |
|
122 |
121 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
682 |
668 |
$2K |
| 73630 |
|
191 |
181 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
598 |
510 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
293 |
240 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
90 |
89 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
80 |
79 |
$2K |
| 73610 |
|
149 |
143 |
$2K |
| 73130 |
|
144 |
137 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
27 |
$2K |
| 85027 |
|
151 |
132 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
186 |
183 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
302 |
253 |
$1K |
| 73030 |
|
86 |
83 |
$1K |
| 73564 |
|
70 |
68 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
113 |
93 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
161 |
158 |
$1K |
| 87040 |
|
179 |
176 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
73 |
44 |
$1K |
| 87088 |
|
319 |
307 |
$1K |
| 85730 |
|
284 |
269 |
$1K |
| 86901 |
|
146 |
134 |
$986.61 |
| 86900 |
|
146 |
134 |
$969.81 |
| 72110 |
|
44 |
44 |
$886.39 |
| 76775 |
|
14 |
14 |
$882.94 |
| 84443 |
Thyroid stimulating hormone (TSH) |
165 |
164 |
$878.54 |
| 83880 |
|
121 |
117 |
$869.24 |
| 86885 |
|
51 |
47 |
$811.56 |
| J2060 |
Injection, lorazepam, 2 mg |
127 |
112 |
$802.11 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
13 |
12 |
$679.27 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
14 |
12 |
$679.27 |
| 73562 |
|
29 |
27 |
$671.76 |
| 74018 |
|
53 |
52 |
$632.10 |
| 83735 |
|
235 |
166 |
$623.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
536 |
499 |
$602.43 |
| 80061 |
Lipid panel |
59 |
57 |
$579.74 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
13 |
$516.22 |
| 90715 |
|
43 |
43 |
$474.57 |
| 87070 |
|
297 |
295 |
$455.85 |
| 96376 |
|
30 |
27 |
$440.91 |
| 73502 |
|
19 |
14 |
$440.80 |
| 72100 |
|
32 |
32 |
$420.44 |
| J7050 |
Infusion, normal saline solution, 250 cc |
106 |
72 |
$414.84 |
| 83605 |
|
93 |
83 |
$386.53 |
| 84702 |
|
65 |
59 |
$382.23 |
| 73110 |
|
44 |
43 |
$323.25 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
122 |
109 |
$321.09 |
| 74021 |
|
66 |
65 |
$317.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
300 |
$290.38 |
| 85378 |
|
180 |
179 |
$266.01 |
| 99201 |
|
12 |
12 |
$246.00 |
| 82803 |
|
14 |
12 |
$225.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
335 |
299 |
$195.81 |
| 82150 |
|
43 |
43 |
$194.69 |
| 88313 |
|
101 |
101 |
$163.84 |
| 83789 |
|
13 |
13 |
$161.63 |
| 71100 |
|
13 |
13 |
$158.22 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
61 |
27 |
$150.56 |
| 87999 |
|
116 |
116 |
$119.87 |
| 88312 |
|
99 |
99 |
$116.38 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$114.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$114.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
147 |
105 |
$68.25 |
| 84100 |
|
44 |
39 |
$67.52 |
| 86308 |
|
12 |
12 |
$34.34 |
| 85651 |
|
13 |
13 |
$23.28 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
80 |
73 |
$14.04 |
| 87147 |
|
16 |
16 |
$12.65 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
15 |
$12.00 |
| 73140 |
|
15 |
15 |
$9.80 |
| 81002 |
|
12 |
12 |
$3.00 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$2.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
15 |
$0.00 |