| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,503 |
1,380 |
$138K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
535 |
475 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
91 |
90 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
743 |
678 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,746 |
1,425 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
662 |
609 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,947 |
1,572 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
197 |
186 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
90 |
79 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
111 |
106 |
$3K |
| 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 |
27 |
27 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
86 |
83 |
$1K |
| 81001 |
|
643 |
579 |
$1K |
| 81025 |
|
130 |
114 |
$666.22 |
| 84484 |
|
359 |
303 |
$641.01 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$638.26 |
| 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 |
27 |
27 |
$497.50 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$461.95 |
| 83690 |
|
198 |
178 |
$328.63 |
| 36415 |
Collection of venous blood by venipuncture |
2,039 |
1,797 |
$239.66 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$92.53 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
232 |
192 |
$50.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
55 |
25 |
$5.66 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
537 |
356 |
$0.00 |