| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,211 |
3,976 |
$521K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,176 |
8,862 |
$397K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,229 |
2,099 |
$199K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,292 |
1,247 |
$163K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
177 |
171 |
$102K |
| 80053 |
Comprehensive metabolic panel |
7,988 |
7,075 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,023 |
6,300 |
$44K |
| 86328 |
|
1,185 |
1,156 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
883 |
841 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
336 |
321 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,225 |
1,129 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,236 |
1,157 |
$10K |
| 87581 |
|
177 |
171 |
$9K |
| 87486 |
|
177 |
171 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
101 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
177 |
171 |
$6K |
| 59025 |
Fetal non-stress test |
67 |
41 |
$4K |
| 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 |
78 |
75 |
$4K |
| 81001 |
|
2,217 |
2,059 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
81 |
78 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
770 |
615 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
613 |
551 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,035 |
958 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
163 |
161 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
353 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
24 |
$2K |
| 84703 |
|
586 |
562 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
174 |
131 |
$2K |
| 83735 |
|
809 |
624 |
$2K |
| 83690 |
|
902 |
850 |
$2K |
| 85027 |
|
912 |
784 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
370 |
$2K |
| 83880 |
|
452 |
419 |
$2K |
| 84484 |
|
943 |
657 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
51 |
50 |
$939.60 |
| 81025 |
|
86 |
82 |
$527.79 |
| 84443 |
Thyroid stimulating hormone (TSH) |
292 |
263 |
$479.74 |
| 85610 |
|
499 |
448 |
$367.09 |
| 36415 |
Collection of venous blood by venipuncture |
8,954 |
7,596 |
$366.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$287.50 |
| 85730 |
|
270 |
249 |
$267.65 |
| 81003 |
|
353 |
340 |
$192.40 |
| 87088 |
|
69 |
62 |
$129.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
122 |
110 |
$121.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
120 |
117 |
$81.43 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
643 |
552 |
$69.37 |
| 84702 |
|
53 |
45 |
$63.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$57.12 |
| 86885 |
|
26 |
26 |
$52.80 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
45 |
25 |
$29.34 |
| 86901 |
|
55 |
52 |
$27.61 |
| 86900 |
|
56 |
54 |
$27.61 |
| 87077 |
|
13 |
12 |
$27.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$16.83 |
| 82728 |
|
18 |
13 |
$11.45 |
| 80061 |
Lipid panel |
12 |
12 |
$6.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
24 |
$0.00 |
| 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 |
30 |
25 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
525 |
510 |
$0.00 |