| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,648 |
428 |
$125K |
| 36415 |
Collection of venous blood by venipuncture |
775 |
663 |
$84K |
| 80053 |
Comprehensive metabolic panel |
1,418 |
1,313 |
$81K |
| 81001 |
|
1,261 |
1,141 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,890 |
1,807 |
$62K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,076 |
1,027 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
438 |
419 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
492 |
472 |
$29K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
536 |
189 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
274 |
$21K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
407 |
135 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
322 |
290 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
782 |
731 |
$13K |
| 87070 |
|
158 |
151 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
380 |
369 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
204 |
155 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
331 |
311 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
169 |
167 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
210 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
378 |
338 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
94 |
94 |
$5K |
| 81025 |
|
620 |
585 |
$3K |
| 85027 |
|
189 |
181 |
$3K |
| 84484 |
|
285 |
170 |
$3K |
| 82950 |
|
144 |
144 |
$2K |
| 73630 |
|
42 |
37 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
153 |
153 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,502 |
1,362 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
129 |
$2K |
| 87077 |
|
223 |
214 |
$2K |
| 73610 |
|
26 |
26 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
494 |
463 |
$2K |
| 80061 |
Lipid panel |
355 |
354 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
639 |
623 |
$1K |
| 82105 |
|
26 |
26 |
$1K |
| 87147 |
|
46 |
43 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
345 |
293 |
$906.57 |
| 84439 |
|
150 |
147 |
$898.03 |
| 72100 |
|
15 |
15 |
$830.46 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
238 |
218 |
$748.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
192 |
191 |
$695.83 |
| 84702 |
|
135 |
117 |
$677.33 |
| 82607 |
|
63 |
63 |
$373.39 |
| 87081 |
|
311 |
301 |
$368.08 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
15 |
$254.02 |
| 80055 |
|
16 |
16 |
$244.42 |
| 87210 |
|
78 |
78 |
$151.14 |
| 85018 |
|
139 |
133 |
$73.67 |
| 74022 |
|
13 |
13 |
$50.62 |
| 83690 |
|
341 |
314 |
$31.66 |
| 71045 |
Radiologic examination, chest; single view |
109 |
106 |
$29.52 |
| 84146 |
|
14 |
12 |
$27.48 |
| 86850 |
|
13 |
13 |
$24.00 |
| 85610 |
|
77 |
73 |
$22.28 |
| 83735 |
|
166 |
145 |
$16.04 |
| 83605 |
|
29 |
24 |
$7.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
198 |
194 |
$0.23 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
116 |
100 |
$0.00 |
| 86703 |
|
129 |
125 |
$0.00 |
| 94664 |
|
120 |
99 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
26 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
189 |
182 |
$0.00 |
| 87186 |
|
202 |
194 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
320 |
296 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$0.00 |
| 93976 |
|
12 |
12 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
65 |
58 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
127 |
123 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
214 |
195 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
64 |
56 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
169 |
167 |
$0.00 |
| 82550 |
|
23 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
337 |
324 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
15 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
108 |
81 |
$0.00 |
| 87040 |
|
46 |
27 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
34 |
32 |
$0.00 |
| 83880 |
|
27 |
25 |
$0.00 |
| 83874 |
|
21 |
13 |
$0.00 |
| 85651 |
|
26 |
26 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
14 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |