| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,341 |
5,132 |
$225K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,845 |
4,568 |
$180K |
| 80053 |
Comprehensive metabolic panel |
5,652 |
5,235 |
$53K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,190 |
1,117 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,598 |
5,178 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
188 |
181 |
$18K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,290 |
4,690 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
89 |
$6K |
| 87631 |
|
56 |
56 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
85 |
24 |
$4K |
| 71250 |
|
55 |
49 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
329 |
307 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
45 |
42 |
$3K |
| 81001 |
|
465 |
432 |
$2K |
| 97597 |
|
32 |
16 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
143 |
130 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
23 |
13 |
$2K |
| 83690 |
|
222 |
207 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
65 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
63 |
54 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
41 |
32 |
$965.43 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
20 |
12 |
$962.12 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
28 |
28 |
$875.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
22 |
$654.35 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$612.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
20 |
$589.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
40 |
$585.28 |
| 84484 |
|
60 |
56 |
$465.94 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
28 |
$379.54 |
| 81025 |
|
57 |
55 |
$356.52 |
| 83735 |
|
89 |
82 |
$316.89 |
| 71045 |
Radiologic examination, chest; single view |
87 |
78 |
$273.72 |
| 87088 |
|
29 |
22 |
$271.22 |
| 99070 |
|
93 |
52 |
$225.78 |
| 36415 |
Collection of venous blood by venipuncture |
3,960 |
3,552 |
$155.48 |
| 85730 |
|
41 |
38 |
$125.60 |
| 81003 |
|
154 |
134 |
$123.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
83 |
78 |
$123.32 |
| 85610 |
|
41 |
38 |
$114.83 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$108.32 |
| 87070 |
|
35 |
29 |
$85.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
97 |
39 |
$67.53 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
99 |
69 |
$48.53 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
217 |
193 |
$42.21 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
17 |
12 |
$38.61 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
97 |
70 |
$38.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
19 |
$34.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
100 |
76 |
$23.31 |
| J2704 |
Injection, propofol, 10 mg |
139 |
91 |
$18.75 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
19 |
14 |
$13.68 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
13 |
12 |
$7.48 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
37 |
24 |
$5.76 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
15 |
12 |
$1.94 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
26 |
26 |
$0.56 |
| A9270 |
Non-covered item or service |
124 |
39 |
$0.00 |
| 87205 |
|
20 |
14 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 31624 |
|
20 |
14 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
19 |
19 |
$0.00 |