| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,600 |
10,490 |
$880K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,369 |
6,264 |
$458K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,949 |
354 |
$192K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
937 |
811 |
$155K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,249 |
993 |
$124K |
| 80053 |
Comprehensive metabolic panel |
7,405 |
5,801 |
$116K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,203 |
1,136 |
$95K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
526 |
432 |
$77K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,540 |
1,205 |
$64K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,284 |
817 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
3,025 |
2,682 |
$32K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,936 |
1,533 |
$28K |
| A9270 |
Non-covered item or service |
3,046 |
857 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
379 |
334 |
$25K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
192 |
182 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,244 |
1,928 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,842 |
1,762 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,640 |
1,514 |
$13K |
| 81001 |
|
3,701 |
3,147 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
48 |
43 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,765 |
3,894 |
$10K |
| 85027 |
|
9,778 |
7,442 |
$9K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
408 |
88 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,374 |
1,236 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,154 |
3,011 |
$8K |
| 86756 |
|
291 |
284 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
358 |
278 |
$7K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,052 |
3,911 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,022 |
786 |
$7K |
| 81003 |
|
1,316 |
1,148 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
985 |
819 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
301 |
234 |
$5K |
| 87040 |
|
1,313 |
801 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,891 |
1,490 |
$5K |
| 85610 |
|
1,514 |
1,193 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,604 |
2,052 |
$4K |
| 84484 |
|
2,474 |
1,756 |
$4K |
| 85730 |
|
1,354 |
1,069 |
$4K |
| 83735 |
|
4,117 |
3,019 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
815 |
715 |
$4K |
| 73630 |
|
87 |
77 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,386 |
1,866 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,266 |
1,585 |
$2K |
| 82550 |
|
1,578 |
1,149 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$1K |
| 83690 |
|
3,689 |
3,080 |
$1K |
| 81025 |
|
1,078 |
989 |
$1K |
| 73610 |
|
32 |
26 |
$1K |
| 83605 |
|
671 |
508 |
$873.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
820 |
669 |
$867.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,309 |
923 |
$819.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,464 |
1,114 |
$791.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
919 |
753 |
$775.65 |
| 87077 |
|
28 |
27 |
$765.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
979 |
932 |
$729.01 |
| 87400 |
|
740 |
693 |
$646.93 |
| G0378 |
Hospital observation service, per hour |
105 |
66 |
$587.14 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
249 |
166 |
$500.38 |
| 83880 |
|
587 |
447 |
$487.81 |
| 85378 |
|
275 |
234 |
$411.95 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$389.20 |
| 84703 |
|
1,234 |
1,098 |
$362.24 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
40 |
27 |
$141.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
14 |
$130.84 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$113.40 |
| 80061 |
Lipid panel |
108 |
89 |
$63.37 |
| 87807 |
|
36 |
36 |
$52.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
26 |
$43.55 |
| 87070 |
|
17 |
17 |
$39.00 |
| 80076 |
|
134 |
109 |
$36.75 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
69 |
62 |
$30.85 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
100 |
80 |
$29.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$18.41 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 82553 |
|
24 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
12 |
12 |
$0.00 |
| 87088 |
|
45 |
38 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
84 |
75 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
140 |
97 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,078 |
848 |
$0.00 |
| 87186 |
|
92 |
79 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
68 |
66 |
$0.00 |
| 84439 |
|
23 |
16 |
$0.00 |