| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
10,658 |
9,816 |
$357K |
| 70450 |
Computed tomography, head or brain; without contrast material |
911 |
881 |
$93K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
377 |
365 |
$40K |
| 74150 |
|
376 |
360 |
$37K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
719 |
694 |
$36K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,637 |
1,515 |
$34K |
| 80053 |
Comprehensive metabolic panel |
4,976 |
4,672 |
$31K |
| 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 |
1,188 |
1,108 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
551 |
511 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,344 |
4,959 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
360 |
354 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
978 |
941 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
385 |
374 |
$18K |
| 82553 |
|
2,029 |
1,917 |
$18K |
| 72192 |
|
298 |
289 |
$17K |
| 84484 |
|
2,435 |
2,058 |
$15K |
| 94760 |
|
1,975 |
1,876 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
881 |
845 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
801 |
778 |
$13K |
| 80305 |
|
1,590 |
1,515 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
948 |
913 |
$9K |
| 82150 |
|
2,652 |
2,506 |
$9K |
| 99199 |
Unlisted special service, procedure or report |
1,838 |
1,578 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,636 |
865 |
$9K |
| 85730 |
|
2,634 |
2,516 |
$9K |
| 83880 |
|
516 |
481 |
$8K |
| 83690 |
|
2,072 |
1,979 |
$8K |
| 81001 |
|
4,253 |
4,046 |
$8K |
| J3490 |
Unclassified drugs |
1,838 |
1,231 |
$8K |
| 82550 |
|
2,021 |
1,914 |
$7K |
| 85610 |
|
2,669 |
2,550 |
$6K |
| 81025 |
|
1,588 |
1,484 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
101 |
98 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
82 |
80 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
606 |
572 |
$2K |
| 94060 |
|
69 |
67 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
382 |
363 |
$2K |
| 0270 |
|
830 |
616 |
$2K |
| 0301 |
|
81 |
79 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
114 |
112 |
$1K |
| 85007 |
|
549 |
529 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
71 |
68 |
$947.02 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$864.60 |
| 87040 |
|
69 |
67 |
$846.63 |
| 0259 |
|
1,187 |
938 |
$842.11 |
| 87400 |
|
175 |
166 |
$832.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
195 |
189 |
$807.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
213 |
195 |
$773.74 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
75 |
75 |
$460.44 |
| 73564 |
|
15 |
15 |
$320.50 |
| 85378 |
|
67 |
64 |
$320.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$307.98 |
| 82948 |
|
117 |
103 |
$307.07 |
| 96370 |
|
21 |
21 |
$296.20 |
| 73610 |
|
13 |
13 |
$193.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
30 |
$153.53 |
| 73130 |
|
12 |
12 |
$142.80 |
| 86756 |
|
14 |
14 |
$134.72 |
| 84703 |
|
44 |
43 |
$130.05 |
| 0250 |
|
189 |
144 |
$129.24 |
| 99001 |
|
1,408 |
1,312 |
$128.43 |
| 36415 |
Collection of venous blood by venipuncture |
2,704 |
2,495 |
$93.71 |
| 96376 |
|
14 |
13 |
$48.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$41.04 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$34.86 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$30.40 |
| 80371 |
|
30 |
30 |
$18.53 |
| J7131 |
Hypertonic saline solution, 1 ml |
12 |
12 |
$0.41 |
| 80320 |
|
370 |
356 |
$0.00 |
| 0272 |
|
15 |
12 |
$0.00 |