| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,171 |
5,070 |
$862K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,483 |
4,002 |
$829K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,405 |
726 |
$624K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,168 |
2,233 |
$589K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,093 |
1,723 |
$167K |
| 87428 |
|
2,999 |
2,472 |
$153K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,614 |
1,255 |
$144K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,224 |
2,443 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,597 |
3,387 |
$99K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,863 |
597 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,207 |
5,697 |
$89K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,100 |
1,039 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
2,023 |
1,700 |
$83K |
| 71045 |
Radiologic examination, chest; single view |
2,143 |
1,643 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,752 |
1,599 |
$68K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,231 |
2,416 |
$66K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
570 |
438 |
$47K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
408 |
261 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
531 |
399 |
$40K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,131 |
828 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,062 |
1,010 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,662 |
4,860 |
$33K |
| 80053 |
Comprehensive metabolic panel |
4,556 |
3,405 |
$29K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
972 |
718 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
352 |
285 |
$24K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
497 |
386 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
767 |
620 |
$23K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
520 |
417 |
$23K |
| 83880 |
|
697 |
559 |
$17K |
| 84484 |
|
2,309 |
1,548 |
$15K |
| 81025 |
|
1,694 |
1,469 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,580 |
1,244 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,439 |
3,864 |
$10K |
| 74018 |
|
191 |
167 |
$9K |
| 81001 |
|
3,429 |
2,754 |
$8K |
| 80305 |
|
789 |
672 |
$7K |
| 83735 |
|
1,598 |
1,219 |
$7K |
| 87807 |
|
628 |
511 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
349 |
297 |
$6K |
| 87634 |
|
95 |
93 |
$6K |
| 87081 |
|
836 |
684 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
32 |
32 |
$5K |
| 81003 |
|
2,265 |
1,893 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
704 |
571 |
$4K |
| 82553 |
|
350 |
276 |
$3K |
| 87186 |
|
391 |
307 |
$3K |
| 87077 |
|
415 |
320 |
$3K |
| 73560 |
|
70 |
57 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
12 |
$2K |
| 87088 |
|
272 |
229 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
220 |
208 |
$2K |
| 87040 |
|
281 |
147 |
$2K |
| 83690 |
|
347 |
284 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
227 |
184 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
14 |
$1K |
| 82550 |
|
228 |
193 |
$1K |
| 87210 |
|
382 |
334 |
$1K |
| 85610 |
|
429 |
332 |
$1K |
| 85730 |
|
232 |
192 |
$965.28 |
| 74022 |
|
15 |
13 |
$868.05 |
| 85378 |
|
159 |
131 |
$848.79 |
| 73030 |
|
34 |
25 |
$802.41 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
26 |
12 |
$799.00 |
| 97161 |
|
16 |
14 |
$790.53 |
| 83605 |
|
86 |
65 |
$783.58 |
| 83874 |
|
75 |
55 |
$773.62 |
| 73630 |
|
15 |
12 |
$770.62 |
| 82962 |
|
201 |
94 |
$578.93 |
| 94761 |
|
251 |
144 |
$507.45 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
25 |
$363.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
975 |
776 |
$85.14 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
263 |
153 |
$77.19 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
712 |
577 |
$71.54 |
| 82150 |
|
13 |
12 |
$64.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,152 |
847 |
$61.17 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
714 |
557 |
$33.75 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,533 |
1,035 |
$0.00 |
| J3490 |
Unclassified drugs |
1,677 |
1,184 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
231 |
183 |
$0.00 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
13 |
13 |
$0.00 |