| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,351 |
2,064 |
$424K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,784 |
1,429 |
$371K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
778 |
609 |
$303K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,140 |
3,987 |
$158K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,309 |
1,215 |
$31K |
| 87631 |
|
169 |
168 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
309 |
306 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
1,091 |
995 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
325 |
320 |
$14K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
565 |
553 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
53 |
53 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
65 |
63 |
$5K |
| 80053 |
Comprehensive metabolic panel |
145 |
135 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
63 |
62 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
109 |
100 |
$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 |
30 |
30 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
39 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
24 |
$947.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
16 |
$478.44 |
| 81001 |
|
27 |
25 |
$413.17 |
| 83690 |
|
12 |
12 |
$338.24 |
| 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 |
15 |
15 |
$274.58 |
| 81003 |
|
12 |
12 |
$125.76 |