| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,607 |
1,532 |
$59K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
324 |
314 |
$32K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
458 |
445 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,104 |
1,073 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
849 |
849 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,338 |
528 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
120 |
120 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
295 |
279 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
847 |
847 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
154 |
152 |
$1K |
| 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 |
532 |
501 |
$1K |
| 77080 |
|
26 |
26 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,611 |
2,117 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
130 |
113 |
$891.59 |
| 80061 |
Lipid panel |
811 |
805 |
$692.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
950 |
948 |
$437.73 |
| 80053 |
Comprehensive metabolic panel |
850 |
812 |
$433.26 |
| 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 |
470 |
440 |
$375.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
24 |
$363.32 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
336 |
304 |
$347.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,722 |
1,465 |
$331.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
266 |
266 |
$306.35 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
57 |
53 |
$299.58 |
| 36415 |
Collection of venous blood by venipuncture |
2,550 |
2,388 |
$220.91 |
| 85027 |
|
640 |
581 |
$180.12 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
13 |
$173.14 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
61 |
56 |
$168.89 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
12 |
$142.63 |
| 97162 |
|
40 |
39 |
$136.98 |
| 82962 |
|
358 |
287 |
$91.84 |
| 80076 |
|
327 |
292 |
$67.28 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
30 |
$51.33 |
| 83735 |
|
346 |
253 |
$33.50 |
| 85610 |
|
49 |
39 |
$22.01 |
| 73630 |
|
12 |
12 |
$19.84 |
| 81001 |
|
157 |
150 |
$12.68 |
| 81003 |
|
39 |
39 |
$11.25 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
407 |
392 |
$2.13 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
590 |
494 |
$0.84 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
195 |
185 |
$0.69 |
| J3490 |
Unclassified drugs |
111 |
79 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
87 |
68 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
25 |
$0.00 |
| 84484 |
|
29 |
24 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
43 |
41 |
$0.00 |