| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,680 |
4,560 |
$485K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,855 |
3,171 |
$458K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,480 |
901 |
$175K |
| 80053 |
Comprehensive metabolic panel |
4,294 |
3,433 |
$63K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,005 |
4,789 |
$49K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,621 |
1,313 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
6,567 |
5,194 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,473 |
1,244 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
835 |
669 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
526 |
436 |
$12K |
| 81001 |
|
2,891 |
2,373 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,113 |
891 |
$10K |
| 84484 |
|
622 |
474 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
423 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
143 |
93 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
253 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
155 |
138 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
38 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
346 |
276 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
560 |
487 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
137 |
118 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
202 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
198 |
160 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
367 |
314 |
$2K |
| 83735 |
|
261 |
206 |
$2K |
| 74022 |
|
38 |
31 |
$2K |
| 83874 |
|
167 |
131 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
205 |
170 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
129 |
109 |
$761.80 |
| 84100 |
|
109 |
86 |
$710.97 |
| 82150 |
|
35 |
27 |
$664.39 |
| 83605 |
|
40 |
34 |
$543.60 |
| 86769 |
|
60 |
58 |
$505.56 |
| 87040 |
|
26 |
16 |
$489.76 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
110 |
78 |
$485.21 |
| 81025 |
|
62 |
51 |
$331.82 |
| 83880 |
|
13 |
13 |
$303.51 |
| 85014 |
|
126 |
111 |
$296.88 |
| 83690 |
|
35 |
27 |
$285.07 |
| 30000 |
|
15 |
12 |
$280.21 |
| 80061 |
Lipid panel |
82 |
81 |
$274.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
117 |
$261.51 |
| J2704 |
Injection, propofol, 10 mg |
76 |
64 |
$255.13 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$246.83 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$193.92 |
| 94664 |
|
20 |
14 |
$193.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
25 |
$163.84 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
31 |
27 |
$152.09 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
19 |
13 |
$142.84 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
29 |
24 |
$112.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
13 |
$109.06 |
| G0378 |
Hospital observation service, per hour |
30 |
12 |
$101.35 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$98.36 |
| 85610 |
|
15 |
12 |
$86.28 |
| 85730 |
|
15 |
12 |
$85.66 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
12 |
$81.60 |
| 80358 |
|
27 |
25 |
$0.00 |
| 80359 |
|
27 |
25 |
$0.00 |
| 80345 |
|
26 |
25 |
$0.00 |
| 80349 |
|
13 |
13 |
$0.00 |
| 80368 |
|
13 |
13 |
$0.00 |
| 80353 |
|
26 |
25 |
$0.00 |
| 80324 |
|
27 |
25 |
$0.00 |
| 80356 |
|
27 |
25 |
$0.00 |
| 80369 |
|
26 |
25 |
$0.00 |
| 80337 |
|
13 |
13 |
$0.00 |
| 80346 |
|
27 |
25 |
$0.00 |
| 80364 |
|
27 |
25 |
$0.00 |
| 80372 |
|
13 |
13 |
$0.00 |
| 80348 |
|
27 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$0.00 |