| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,795 |
9,323 |
$1.55M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,093 |
6,546 |
$1.02M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,811 |
1,714 |
$224K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,236 |
1,125 |
$173K |
| 80053 |
Comprehensive metabolic panel |
6,504 |
5,637 |
$130K |
| 86769 |
|
659 |
643 |
$37K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,102 |
1,031 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,715 |
7,640 |
$25K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,574 |
1,435 |
$24K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,411 |
1,350 |
$20K |
| 87631 |
|
189 |
183 |
$18K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
621 |
149 |
$16K |
| 80061 |
Lipid panel |
870 |
835 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
176 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
26 |
$11K |
| 81001 |
|
575 |
536 |
$6K |
| J3490 |
Unclassified drugs |
3,461 |
2,604 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
24 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
168 |
156 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
87 |
83 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
56 |
51 |
$4K |
| 86787 |
|
99 |
95 |
$4K |
| 84439 |
|
218 |
213 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
15 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
164 |
131 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
110 |
53 |
$3K |
| 86140 |
|
64 |
49 |
$3K |
| 87077 |
|
72 |
64 |
$2K |
| 87210 |
|
116 |
115 |
$2K |
| 80076 |
|
386 |
365 |
$2K |
| 87186 |
|
73 |
65 |
$1K |
| 82607 |
|
99 |
92 |
$1K |
| 85027 |
|
277 |
255 |
$775.27 |
| 86328 |
|
13 |
13 |
$739.68 |
| 83605 |
|
164 |
135 |
$677.04 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,140 |
1,932 |
$575.01 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
146 |
$556.60 |
| 80305 |
|
17 |
15 |
$495.96 |
| 83540 |
|
42 |
40 |
$349.64 |
| 36591 |
|
116 |
64 |
$318.46 |
| 86850 |
|
13 |
13 |
$277.38 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
4,804 |
3,770 |
$266.13 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
828 |
697 |
$203.43 |
| 84466 |
|
29 |
27 |
$187.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
49 |
$182.35 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
795 |
713 |
$181.64 |
| 86900 |
|
25 |
24 |
$148.00 |
| 83550 |
|
13 |
13 |
$123.97 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$123.12 |
| 80320 |
|
12 |
12 |
$103.55 |
| 80050 |
General health panel |
19 |
15 |
$92.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,638 |
1,489 |
$86.88 |
| 86901 |
|
25 |
24 |
$74.00 |
| 83690 |
|
206 |
190 |
$55.82 |
| 84484 |
|
98 |
64 |
$45.04 |
| 83735 |
|
91 |
88 |
$37.20 |
| 84703 |
|
24 |
24 |
$24.97 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
54 |
43 |
$22.66 |
| 81025 |
|
30 |
27 |
$22.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
124 |
$18.75 |
| 84100 |
|
12 |
12 |
$15.18 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
90 |
83 |
$14.69 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
505 |
465 |
$9.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
448 |
424 |
$8.89 |
| 81003 |
|
15 |
14 |
$8.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
17 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 84145 |
|
17 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
13 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
393 |
360 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
12 |
$0.00 |
| 87081 |
|
19 |
15 |
$0.00 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
19 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
12 |
$0.00 |