| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,322 |
7,705 |
$3.47M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,529 |
6,328 |
$1.06M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
579 |
567 |
$102K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,299 |
1,189 |
$86K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,143 |
1,019 |
$83K |
| 93976 |
|
966 |
862 |
$81K |
| 76801 |
|
913 |
811 |
$79K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,721 |
3,633 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,533 |
3,374 |
$70K |
| 87634 |
|
1,141 |
1,121 |
$48K |
| 80053 |
Comprehensive metabolic panel |
4,236 |
3,884 |
$40K |
| 85027 |
|
7,426 |
6,778 |
$32K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
396 |
350 |
$25K |
| 81001 |
|
8,363 |
7,804 |
$22K |
| 84702 |
|
1,911 |
1,731 |
$22K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,722 |
1,627 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
85 |
82 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,000 |
944 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
403 |
398 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
24 |
24 |
$8K |
| 81025 |
|
1,393 |
1,330 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
307 |
296 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
916 |
875 |
$4K |
| 83690 |
|
622 |
592 |
$3K |
| 86900 |
|
915 |
832 |
$3K |
| 86901 |
|
915 |
832 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
25 |
$1K |
| 80076 |
|
208 |
201 |
$1K |
| 84030 |
|
106 |
99 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$866.52 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
707 |
617 |
$734.24 |
| 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 |
25 |
25 |
$543.68 |
| 80306 |
|
42 |
41 |
$372.01 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
15 |
$238.40 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
38 |
37 |
$236.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$229.72 |
| 83735 |
|
52 |
46 |
$209.35 |
| 86850 |
|
17 |
15 |
$198.86 |
| 82248 |
|
26 |
25 |
$63.95 |
| 86140 |
|
12 |
12 |
$23.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |