| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,266 |
5,975 |
$609K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,565 |
5,130 |
$605K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,436 |
1,984 |
$433K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,294 |
2,047 |
$286K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,711 |
5,475 |
$120K |
| 70450 |
Computed tomography, head or brain; without contrast material |
394 |
345 |
$73K |
| G0378 |
Hospital observation service, per hour |
1,441 |
515 |
$59K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
338 |
263 |
$48K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
600 |
481 |
$44K |
| 84484 |
|
2,544 |
1,802 |
$36K |
| 87400 |
|
1,478 |
748 |
$30K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
299 |
290 |
$24K |
| 80076 |
|
2,091 |
1,859 |
$20K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
296 |
84 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
70 |
59 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
444 |
411 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
37 |
31 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
372 |
337 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
12 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
79 |
63 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
28 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,885 |
2,594 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
12 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
8,063 |
7,215 |
$4K |
| 80053 |
Comprehensive metabolic panel |
190 |
156 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,687 |
1,598 |
$3K |
| 80320 |
|
121 |
108 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,150 |
1,813 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,155 |
2,582 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
124 |
121 |
$2K |
| 83605 |
|
137 |
90 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,492 |
5,682 |
$1K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
60 |
59 |
$1K |
| 80061 |
Lipid panel |
103 |
102 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,377 |
2,187 |
$1K |
| 81001 |
|
5,564 |
5,116 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$1K |
| 85027 |
|
230 |
171 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
561 |
503 |
$704.12 |
| 93017 |
|
14 |
12 |
$700.96 |
| 83880 |
|
47 |
42 |
$699.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,720 |
2,302 |
$669.23 |
| 96376 |
|
81 |
41 |
$546.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
46 |
$482.73 |
| 87088 |
|
1,746 |
1,579 |
$459.13 |
| 81025 |
|
3,004 |
2,791 |
$399.71 |
| 83690 |
|
1,798 |
1,590 |
$365.09 |
| 80055 |
|
15 |
15 |
$337.18 |
| 82105 |
|
12 |
12 |
$305.07 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
429 |
396 |
$275.24 |
| 81003 |
|
52 |
52 |
$250.26 |
| 00731 |
|
33 |
28 |
$137.69 |
| 87210 |
|
337 |
171 |
$121.32 |
| 84439 |
|
16 |
16 |
$95.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,187 |
1,985 |
$93.93 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
108 |
74 |
$73.04 |
| 88342 |
|
26 |
24 |
$24.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
359 |
319 |
$18.78 |
| 85610 |
|
98 |
77 |
$18.55 |
| 82803 |
|
13 |
12 |
$17.05 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
605 |
529 |
$14.93 |
| J2704 |
Injection, propofol, 10 mg |
130 |
109 |
$13.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
55 |
24 |
$10.63 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
523 |
427 |
$10.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
109 |
$9.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
352 |
309 |
$6.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
308 |
274 |
$4.94 |
| J2060 |
Injection, lorazepam, 2 mg |
56 |
51 |
$3.28 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
89 |
79 |
$0.59 |
| 87070 |
|
68 |
63 |
$0.00 |
| A9270 |
Non-covered item or service |
287 |
137 |
$0.00 |
| 85730 |
|
68 |
58 |
$0.00 |
| 83735 |
|
78 |
68 |
$0.00 |
| 87077 |
|
28 |
25 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
16 |
14 |
$0.00 |
| 87186 |
|
29 |
24 |
$0.00 |