| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,432 |
6,326 |
$1.52M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,179 |
4,123 |
$1.32M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,311 |
6,230 |
$1.02M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
376 |
376 |
$251K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,722 |
1,688 |
$219K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,237 |
1,237 |
$104K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,083 |
1,038 |
$51K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,798 |
1,420 |
$41K |
| 87428 |
|
1,219 |
1,203 |
$34K |
| 80053 |
Comprehensive metabolic panel |
3,696 |
3,635 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,593 |
4,483 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,121 |
2,106 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
4,966 |
4,763 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
412 |
411 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,058 |
1,047 |
$12K |
| 87081 |
|
989 |
985 |
$8K |
| 81001 |
|
1,532 |
1,388 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
119 |
94 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
563 |
493 |
$4K |
| 87807 |
|
214 |
214 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
93 |
90 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
28 |
28 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
42 |
$3K |
| 87400 |
|
96 |
96 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
50 |
50 |
$2K |
| 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 |
24 |
24 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
37 |
37 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
51 |
$2K |
| 84112 |
|
15 |
14 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
78 |
78 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
242 |
237 |
$1K |
| 81025 |
|
164 |
162 |
$1K |
| 84484 |
|
72 |
68 |
$776.30 |
| 83690 |
|
115 |
113 |
$705.23 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$704.04 |
| 81003 |
|
285 |
266 |
$533.25 |
| 83735 |
|
28 |
24 |
$164.20 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,048 |
1,025 |
$132.54 |
| 85610 |
|
34 |
30 |
$117.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
299 |
299 |
$100.44 |
| J7050 |
Infusion, normal saline solution, 250 cc |
126 |
123 |
$85.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
77 |
77 |
$21.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
23 |
23 |
$12.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
244 |
244 |
$0.00 |
| A4615 |
Cannula, nasal |
25 |
24 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
112 |
101 |
$0.00 |