| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,296 |
2,938 |
$315K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,573 |
2,364 |
$293K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
297 |
262 |
$65K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
570 |
474 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
538 |
432 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
90 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
196 |
149 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
64 |
60 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
69 |
63 |
$5K |
| G0378 |
Hospital observation service, per hour |
69 |
54 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
224 |
214 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,104 |
944 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
81 |
75 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,145 |
960 |
$673.08 |
| 84702 |
|
703 |
628 |
$404.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,795 |
2,320 |
$317.25 |
| A9270 |
Non-covered item or service |
332 |
185 |
$311.17 |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
67 |
$283.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,738 |
2,335 |
$236.80 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,028 |
900 |
$211.29 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
13 |
$191.42 |
| 80076 |
|
1,762 |
1,532 |
$185.43 |
| 83690 |
|
1,498 |
1,294 |
$176.00 |
| 84484 |
|
774 |
628 |
$123.76 |
| 85027 |
|
462 |
364 |
$119.91 |
| 85610 |
|
352 |
284 |
$81.48 |
| 81001 |
|
1,396 |
1,223 |
$66.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
479 |
420 |
$62.80 |
| 80053 |
Comprehensive metabolic panel |
248 |
211 |
$57.47 |
| 36415 |
Collection of venous blood by venipuncture |
165 |
109 |
$55.19 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
413 |
360 |
$52.67 |
| 83735 |
|
713 |
630 |
$51.00 |
| 85730 |
|
145 |
117 |
$43.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
49 |
$29.52 |
| 82948 |
|
388 |
296 |
$27.96 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
512 |
437 |
$20.32 |
| 85007 |
|
112 |
100 |
$17.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$14.43 |
| 87088 |
|
30 |
28 |
$12.14 |
| 86850 |
|
106 |
90 |
$5.23 |
| 86901 |
|
181 |
157 |
$1.27 |
| 86900 |
|
181 |
157 |
$1.27 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
442 |
423 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
553 |
468 |
$0.00 |
| 87081 |
|
87 |
83 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
29 |
$0.00 |
| 83605 |
|
32 |
27 |
$0.00 |
| 87040 |
|
79 |
67 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |
| 83880 |
|
15 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
21 |
$0.00 |
| 96376 |
|
33 |
27 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
300 |
259 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
443 |
388 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
65 |
$0.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
133 |
114 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
30 |
25 |
$0.00 |
| 73130 |
|
14 |
12 |
$0.00 |
| 73630 |
|
15 |
13 |
$0.00 |