| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50,905 |
43,403 |
$5.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,656 |
31,416 |
$3.93M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,788 |
1,520 |
$456K |
| 80053 |
Comprehensive metabolic panel |
30,643 |
26,122 |
$387K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,191 |
2,014 |
$224K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,370 |
9,669 |
$157K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
527 |
489 |
$99K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,090 |
987 |
$88K |
| 84484 |
|
5,783 |
4,215 |
$73K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
523 |
486 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
221 |
192 |
$35K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
259 |
215 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
29,307 |
25,126 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
467 |
407 |
$25K |
| 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 |
315 |
284 |
$21K |
| 80320 |
|
181 |
141 |
$16K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
69 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
390 |
358 |
$9K |
| 85027 |
|
50,392 |
42,640 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
65 |
25 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,663 |
14,848 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
109 |
107 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,755 |
5,009 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
28 |
$3K |
| 76813 |
|
40 |
38 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
60 |
58 |
$2K |
| 84703 |
|
5,837 |
5,217 |
$2K |
| 81003 |
|
2,360 |
2,160 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
51 |
40 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
7,089 |
6,205 |
$2K |
| G0378 |
Hospital observation service, per hour |
36 |
24 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$1K |
| 76820 |
|
18 |
12 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
281 |
268 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15,474 |
13,353 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 97597 |
|
39 |
12 |
$905.76 |
| 71046 |
Radiologic examination, chest; 2 views |
669 |
589 |
$811.54 |
| 84425 |
|
14 |
13 |
$677.16 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
273 |
251 |
$406.79 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,172 |
1,878 |
$330.76 |
| 81001 |
|
1,569 |
1,413 |
$212.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,660 |
2,394 |
$140.15 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
74 |
$96.15 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,546 |
1,461 |
$94.41 |
| 82077 |
|
2,452 |
2,104 |
$77.07 |
| 83690 |
|
6,701 |
5,885 |
$43.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,865 |
4,200 |
$34.52 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
158 |
146 |
$0.00 |
| 81025 |
|
32 |
29 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
842 |
701 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
452 |
393 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
69 |
62 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
27 |
26 |
$0.00 |
| A9270 |
Non-covered item or service |
65 |
41 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
14 |
12 |
$0.00 |
| 87081 |
|
14 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
14 |
$0.00 |