| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
1,209 |
1,082 |
$553K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,033 |
3,558 |
$363K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,887 |
2,576 |
$335K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,058 |
1,858 |
$112K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,094 |
681 |
$32K |
| 80053 |
Comprehensive metabolic panel |
7,642 |
5,940 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
2,452 |
2,204 |
$2K |
| 84484 |
|
3,804 |
2,899 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,028 |
5,685 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,932 |
3,381 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
580 |
561 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,845 |
1,691 |
$916.28 |
| 84702 |
|
1,094 |
911 |
$871.26 |
| 81001 |
|
3,710 |
3,262 |
$857.32 |
| 83690 |
|
1,419 |
1,256 |
$451.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
151 |
$422.34 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,861 |
1,432 |
$331.09 |
| 85027 |
|
1,267 |
915 |
$265.68 |
| 85610 |
|
192 |
156 |
$226.91 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
327 |
244 |
$219.58 |
| 83735 |
|
2,244 |
1,727 |
$178.62 |
| 83605 |
|
318 |
283 |
$174.43 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
247 |
237 |
$136.92 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,004 |
707 |
$113.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
960 |
858 |
$96.23 |
| 87088 |
|
505 |
450 |
$69.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
255 |
196 |
$57.61 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
26 |
$53.81 |
| 87040 |
|
26 |
25 |
$52.25 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
216 |
207 |
$51.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,937 |
1,645 |
$48.50 |
| 86850 |
|
16 |
13 |
$32.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
290 |
215 |
$25.43 |
| 94760 |
|
509 |
357 |
$22.10 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
200 |
159 |
$17.36 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
232 |
216 |
$14.90 |
| 86901 |
|
16 |
13 |
$10.89 |
| 86900 |
|
16 |
13 |
$10.89 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
618 |
493 |
$8.85 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
164 |
155 |
$1.05 |
| J2704 |
Injection, propofol, 10 mg |
33 |
33 |
$0.00 |
| 83880 |
|
354 |
329 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
20 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
54 |
51 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 80320 |
|
69 |
62 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
310 |
290 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
42 |
41 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
27 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
62 |
56 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
74 |
57 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
46 |
40 |
$0.00 |
| 85379 |
|
12 |
12 |
$0.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
19 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
33 |
26 |
$0.00 |
| 94799 |
|
159 |
97 |
$0.00 |
| 87186 |
|
24 |
24 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
73 |
69 |
$0.00 |
| 85007 |
|
15 |
13 |
$0.00 |
| 94664 |
|
113 |
101 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
13 |
12 |
$0.00 |