| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,345 |
4,210 |
$595K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,247 |
5,125 |
$522K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,707 |
6,546 |
$467K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,074 |
964 |
$79K |
| 80053 |
Comprehensive metabolic panel |
5,673 |
5,361 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
312 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,177 |
8,451 |
$44K |
| 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 |
437 |
414 |
$35K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
315 |
312 |
$34K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,794 |
2,632 |
$23K |
| 80050 |
General health panel |
435 |
421 |
$19K |
| 80061 |
Lipid panel |
1,372 |
1,345 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
299 |
289 |
$16K |
| G0378 |
Hospital observation service, per hour |
33 |
28 |
$15K |
| 0002A |
|
354 |
354 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,967 |
1,816 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
365 |
353 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
149 |
$12K |
| 0001A |
|
363 |
361 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
481 |
471 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
284 |
278 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
524 |
505 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
87 |
85 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
616 |
608 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
965 |
934 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,001 |
927 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,710 |
1,629 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
802 |
793 |
$5K |
| 84484 |
|
689 |
619 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
83 |
81 |
$3K |
| 76830 |
Ultrasound, transvaginal |
79 |
77 |
$3K |
| 82728 |
|
301 |
291 |
$3K |
| 81001 |
|
1,208 |
1,161 |
$3K |
| 84439 |
|
339 |
335 |
$3K |
| 73630 |
|
212 |
202 |
$2K |
| 73610 |
|
125 |
124 |
$2K |
| 83540 |
|
317 |
309 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
40 |
$2K |
| 83690 |
|
530 |
511 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
308 |
288 |
$2K |
| 85610 |
|
745 |
592 |
$2K |
| 93976 |
|
40 |
40 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
451 |
421 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,404 |
4,837 |
$2K |
| 73130 |
|
152 |
139 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
86 |
84 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
532 |
396 |
$2K |
| 83735 |
|
288 |
195 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
118 |
104 |
$2K |
| 85379 |
|
161 |
156 |
$1K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
77 |
77 |
$1K |
| 85730 |
|
275 |
259 |
$1K |
| 83605 |
|
221 |
197 |
$1K |
| 82607 |
|
115 |
110 |
$1K |
| 84703 |
|
119 |
113 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$1K |
| 82570 |
|
179 |
175 |
$1K |
| 83550 |
|
276 |
268 |
$1K |
| 74018 |
|
81 |
77 |
$1K |
| 87806 |
|
41 |
41 |
$1K |
| 81003 |
|
395 |
379 |
$1K |
| 85027 |
|
194 |
177 |
$1K |
| 81025 |
|
291 |
280 |
$958.40 |
| 86803 |
|
53 |
53 |
$953.15 |
| 82043 |
|
138 |
134 |
$919.89 |
| 84702 |
|
57 |
46 |
$877.44 |
| 80076 |
|
119 |
114 |
$869.68 |
| 86140 |
|
321 |
301 |
$843.67 |
| 87081 |
|
186 |
182 |
$836.68 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$801.92 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
39 |
38 |
$793.55 |
| 87186 |
|
121 |
112 |
$772.04 |
| 85652 |
|
270 |
256 |
$712.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
107 |
$693.13 |
| 81002 |
|
295 |
276 |
$657.92 |
| 86618 |
|
29 |
28 |
$622.55 |
| 76536 |
|
15 |
13 |
$501.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$488.25 |
| 84145 |
|
27 |
25 |
$357.57 |
| 85378 |
|
42 |
42 |
$333.36 |
| 84146 |
|
13 |
13 |
$312.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
26 |
$306.90 |
| 87040 |
|
27 |
25 |
$305.20 |
| 87077 |
|
40 |
38 |
$260.75 |
| 83880 |
|
17 |
15 |
$255.26 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,251 |
1,051 |
$214.26 |
| 93971 |
|
13 |
12 |
$209.73 |
| 84100 |
|
51 |
43 |
$180.20 |
| 80305 |
|
27 |
26 |
$166.41 |
| 87075 |
|
28 |
26 |
$163.63 |
| 73030 |
|
12 |
12 |
$160.88 |
| 85651 |
|
57 |
55 |
$150.90 |
| 83615 |
|
28 |
26 |
$143.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
62 |
60 |
$130.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
952 |
847 |
$125.20 |
| 87070 |
|
29 |
27 |
$104.63 |
| J2704 |
Injection, propofol, 10 mg |
300 |
266 |
$95.27 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
136 |
111 |
$94.76 |
| 82962 |
|
75 |
56 |
$80.40 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
36 |
28 |
$79.67 |
| 87205 |
|
26 |
26 |
$76.97 |
| 86850 |
|
12 |
12 |
$62.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
386 |
313 |
$55.81 |
| 87147 |
|
14 |
14 |
$45.30 |
| 86592 |
|
13 |
13 |
$43.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
30 |
$42.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
956 |
831 |
$35.38 |
| 86901 |
|
12 |
12 |
$31.08 |
| 86900 |
|
12 |
12 |
$30.69 |
| 94761 |
|
52 |
48 |
$28.96 |
| 96376 |
|
20 |
13 |
$28.26 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
13 |
13 |
$27.54 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
27 |
25 |
$26.52 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
154 |
129 |
$20.91 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
26 |
$19.04 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
51 |
42 |
$14.55 |
| 87899 |
|
32 |
29 |
$12.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
57 |
54 |
$12.93 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
72 |
59 |
$12.51 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
301 |
254 |
$7.26 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$3.20 |
| J3490 |
Unclassified drugs |
59 |
51 |
$2.35 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
161 |
138 |
$0.30 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
852 |
792 |
$0.02 |
| A9270 |
Non-covered item or service |
2,984 |
2,167 |
$0.00 |