| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,738 |
8,097 |
$1.49M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,308 |
14,625 |
$767K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,693 |
2,630 |
$392K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,797 |
6,568 |
$121K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,042 |
978 |
$114K |
| 80053 |
Comprehensive metabolic panel |
8,010 |
7,154 |
$90K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,871 |
1,796 |
$90K |
| 87631 |
|
564 |
548 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,648 |
8,263 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
2,569 |
2,413 |
$61K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
497 |
484 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
266 |
246 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,680 |
1,527 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
646 |
623 |
$27K |
| 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 |
409 |
398 |
$24K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
365 |
354 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
503 |
476 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
388 |
382 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
258 |
248 |
$12K |
| 76801 |
|
195 |
159 |
$12K |
| CP007 |
|
223 |
130 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,349 |
1,243 |
$8K |
| 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 |
407 |
396 |
$8K |
| 84703 |
|
1,381 |
1,296 |
$8K |
| 81001 |
|
2,348 |
2,167 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
926 |
797 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,027 |
501 |
$5K |
| 93976 |
|
110 |
103 |
$5K |
| 84484 |
|
1,276 |
994 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,093 |
1,721 |
$4K |
| 84702 |
|
384 |
295 |
$4K |
| 83690 |
|
1,322 |
1,209 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
676 |
530 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
468 |
424 |
$3K |
| 81025 |
|
426 |
404 |
$3K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
98 |
88 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
54 |
52 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
54 |
52 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
71 |
67 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$866.52 |
| 71046 |
Radiologic examination, chest; 2 views |
21 |
21 |
$865.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
175 |
$778.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,290 |
1,116 |
$740.44 |
| 83880 |
|
54 |
50 |
$729.87 |
| 81003 |
|
408 |
394 |
$645.46 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
56 |
52 |
$634.06 |
| 83605 |
|
181 |
124 |
$573.99 |
| 86901 |
|
277 |
248 |
$539.47 |
| 83735 |
|
226 |
161 |
$509.66 |
| 87081 |
|
64 |
60 |
$342.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
24 |
$282.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
570 |
541 |
$275.61 |
| 85610 |
|
153 |
145 |
$258.81 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
319 |
250 |
$257.17 |
| 94760 |
|
48 |
39 |
$214.02 |
| 96376 |
|
66 |
44 |
$202.58 |
| 87040 |
|
68 |
37 |
$202.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
88 |
80 |
$181.83 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
13 |
$136.26 |
| 86850 |
|
14 |
14 |
$107.32 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
40 |
39 |
$53.56 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
42 |
30 |
$43.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
40 |
$40.51 |
| 85379 |
|
15 |
15 |
$37.31 |
| J7510 |
Prednisolone oral, per 5 mg |
68 |
68 |
$30.94 |
| 86900 |
|
14 |
13 |
$25.61 |
| 36415 |
Collection of venous blood by venipuncture |
1,794 |
1,585 |
$23.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
17 |
14 |
$17.40 |
| J2060 |
Injection, lorazepam, 2 mg |
12 |
12 |
$2.88 |
| A9270 |
Non-covered item or service |
1,937 |
1,711 |
$0.00 |