| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,047 |
9,045 |
$783K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,918 |
3,688 |
$475K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,909 |
8,506 |
$447K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,892 |
1,598 |
$429K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,145 |
1,776 |
$165K |
| G0378 |
Hospital observation service, per hour |
4,534 |
3,154 |
$118K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
346 |
281 |
$57K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
262 |
221 |
$51K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,319 |
1,222 |
$35K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,191 |
2,876 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
657 |
589 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,046 |
5,465 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
12 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
134 |
121 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,147 |
2,649 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,635 |
3,058 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,081 |
2,327 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
178 |
80 |
$2K |
| 96376 |
|
1,837 |
934 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,892 |
4,507 |
$2K |
| 85027 |
|
17,068 |
11,716 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,122 |
7,701 |
$1K |
| 84703 |
|
3,238 |
2,679 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
1,393 |
1,245 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
6,598 |
5,248 |
$986.04 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,423 |
5,522 |
$765.37 |
| 80076 |
|
3,521 |
2,711 |
$740.97 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,394 |
3,226 |
$560.75 |
| 84484 |
|
5,154 |
3,358 |
$554.13 |
| 80053 |
Comprehensive metabolic panel |
9,619 |
6,927 |
$495.55 |
| 83880 |
|
1,777 |
1,457 |
$403.99 |
| 83690 |
|
4,792 |
3,827 |
$391.33 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
838 |
651 |
$373.47 |
| 81025 |
|
1,352 |
1,166 |
$338.55 |
| 93975 |
|
52 |
46 |
$321.75 |
| 80047 |
|
2,722 |
2,132 |
$318.13 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
87 |
75 |
$307.86 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
610 |
500 |
$302.05 |
| 82550 |
|
3,181 |
2,287 |
$271.69 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
965 |
679 |
$256.55 |
| 81001 |
|
5,096 |
4,272 |
$255.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,446 |
2,499 |
$242.27 |
| 87040 |
|
2,365 |
1,130 |
$238.02 |
| 85730 |
|
3,284 |
2,614 |
$208.27 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
26 |
$203.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
444 |
356 |
$193.10 |
| 85610 |
|
4,945 |
3,792 |
$174.21 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,696 |
1,801 |
$157.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
264 |
$155.42 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
40 |
$135.39 |
| 84702 |
|
146 |
125 |
$121.95 |
| 83735 |
|
2,595 |
1,736 |
$114.23 |
| 93971 |
|
40 |
39 |
$102.14 |
| 87088 |
|
611 |
522 |
$77.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
277 |
$75.90 |
| 83605 |
|
937 |
623 |
$72.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,715 |
2,081 |
$51.29 |
| 87430 |
|
184 |
171 |
$49.08 |
| 81003 |
|
1,496 |
1,246 |
$39.73 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,348 |
816 |
$36.83 |
| 86901 |
|
943 |
728 |
$36.60 |
| 86900 |
|
943 |
728 |
$36.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,958 |
1,408 |
$33.34 |
| J3490 |
Unclassified drugs |
241 |
178 |
$29.62 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,942 |
2,416 |
$27.06 |
| 84100 |
|
966 |
580 |
$25.84 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
39 |
$23.94 |
| 87077 |
|
132 |
111 |
$22.08 |
| 85379 |
|
25 |
24 |
$20.85 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
397 |
300 |
$17.93 |
| 87186 |
|
24 |
14 |
$11.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
336 |
220 |
$10.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
751 |
635 |
$10.06 |
| 86850 |
|
272 |
202 |
$9.35 |
| 82077 |
|
1,548 |
1,183 |
$8.63 |
| 82248 |
|
1,724 |
1,259 |
$6.84 |
| J1815 |
Injection, insulin, per 5 units |
95 |
38 |
$2.61 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
21 |
12 |
$2.56 |
| J2704 |
Injection, propofol, 10 mg |
321 |
304 |
$2.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
452 |
357 |
$0.91 |
| A9270 |
Non-covered item or service |
8,600 |
2,288 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
208 |
156 |
$0.00 |
| 82553 |
|
461 |
318 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
947 |
776 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
152 |
115 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
172 |
135 |
$0.00 |
| 87070 |
|
113 |
102 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
19 |
17 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
67 |
38 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
18 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
22 |
13 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
13 |
$0.00 |
| 86920 |
|
14 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$0.00 |
| 93017 |
|
18 |
12 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
20 |
18 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
16 |
12 |
$0.00 |
| 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 |
14 |
14 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
18 |
15 |
$0.00 |
| 87210 |
|
16 |
14 |
$0.00 |
| 87420 |
|
14 |
14 |
$0.00 |
| 73110 |
|
16 |
12 |
$0.00 |
| 73630 |
|
20 |
17 |
$0.00 |