| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
30,461 |
26,731 |
$6.90M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
57,205 |
52,470 |
$6.02M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,453 |
39,411 |
$4.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
31,735 |
28,031 |
$3.16M |
| 80053 |
Comprehensive metabolic panel |
67,447 |
60,443 |
$1.01M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,482 |
4,099 |
$478K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,338 |
2,081 |
$373K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19,934 |
17,267 |
$321K |
| 84484 |
|
20,220 |
13,021 |
$297K |
| 80320 |
|
2,929 |
2,516 |
$269K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,881 |
4,263 |
$266K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,170 |
3,869 |
$249K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
3,743 |
3,645 |
$243K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,239 |
1,124 |
$223K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,882 |
1,644 |
$193K |
| 83605 |
|
6,716 |
5,254 |
$132K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
601 |
539 |
$102K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
49,518 |
44,696 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
461 |
439 |
$79K |
| 93296 |
|
4,837 |
4,295 |
$77K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
406 |
180 |
$70K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
151 |
118 |
$57K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
45,212 |
37,299 |
$54K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30,543 |
26,588 |
$50K |
| 43264 |
|
59 |
54 |
$43K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
96 |
88 |
$31K |
| 87400 |
|
1,221 |
503 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
183 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
95,731 |
85,027 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
66 |
65 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
165 |
149 |
$17K |
| 0002A |
|
203 |
193 |
$13K |
| 80143 |
|
253 |
222 |
$13K |
| 64415 |
|
28 |
26 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
7,811 |
6,776 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
65 |
38 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
20 |
19 |
$9K |
| 81001 |
|
18,356 |
16,295 |
$9K |
| H0031 |
Mental health assessment, by non-physician |
27 |
26 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
18 |
16 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
8,716 |
7,917 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
986 |
895 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
91 |
87 |
$7K |
| 77336 |
|
116 |
54 |
$7K |
| 80050 |
General health panel |
473 |
439 |
$7K |
| 80179 |
|
185 |
161 |
$7K |
| 0001A |
|
142 |
136 |
$6K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
49 |
25 |
$4K |
| 83880 |
|
206 |
193 |
$4K |
| G0378 |
Hospital observation service, per hour |
91 |
51 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
45,182 |
37,116 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,343 |
2,070 |
$2K |
| 83690 |
|
18,002 |
16,384 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,417 |
841 |
$2K |
| 81003 |
|
10,770 |
9,715 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,520 |
1,449 |
$2K |
| 80329 |
|
43 |
26 |
$2K |
| 76942 |
|
18 |
18 |
$2K |
| 84703 |
|
9,582 |
8,933 |
$2K |
| 77334 |
|
22 |
12 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,313 |
14,069 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,822 |
3,663 |
$2K |
| 93975 |
|
12 |
12 |
$1K |
| 74328 |
|
62 |
55 |
$933.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,388 |
1,198 |
$768.50 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,046 |
1,368 |
$719.16 |
| 82077 |
|
4,874 |
4,394 |
$648.92 |
| 77300 |
|
18 |
12 |
$577.29 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,632 |
7,762 |
$538.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,344 |
12,233 |
$469.39 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
283 |
271 |
$397.41 |
| 85379 |
|
26 |
25 |
$375.60 |
| 93017 |
|
12 |
12 |
$324.65 |
| 81025 |
|
1,560 |
1,446 |
$231.46 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$223.85 |
| 80076 |
|
12 |
12 |
$191.95 |
| 80305 |
|
1,884 |
1,666 |
$135.71 |
| 84702 |
|
114 |
113 |
$93.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,993 |
1,688 |
$62.98 |
| 82248 |
|
1,455 |
1,355 |
$56.12 |
| 85610 |
|
792 |
635 |
$37.14 |
| 83735 |
|
942 |
839 |
$30.45 |
| 87634 |
|
14 |
13 |
$22.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$19.99 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
128 |
116 |
$13.10 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,082 |
882 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
26 |
25 |
$0.00 |
| 84100 |
|
33 |
30 |
$0.00 |
| 0753T |
|
88 |
53 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
109 |
79 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
213 |
123 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
387 |
334 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
53 |
44 |
$0.00 |
| 88313 |
|
17 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
65 |
25 |
$0.00 |
| 99152 |
|
16 |
15 |
$0.00 |
| J3490 |
Unclassified drugs |
54,957 |
25,553 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
3,461 |
2,752 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
103 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
547 |
468 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
311 |
300 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,266 |
1,117 |
$0.00 |
| C1769 |
Guide wire |
156 |
131 |
$0.00 |
| 85027 |
|
33 |
28 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
19 |
15 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
72 |
68 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
12 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
56 |
53 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
19 |
13 |
$0.00 |
| 96376 |
|
49 |
36 |
$0.00 |
| 86140 |
|
30 |
25 |
$0.00 |