| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,056 |
13,923 |
$585K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,592 |
7,737 |
$582K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,437 |
1,316 |
$423K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,174 |
4,893 |
$232K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,827 |
2,668 |
$177K |
| 80053 |
Comprehensive metabolic panel |
7,836 |
6,959 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,171 |
8,054 |
$77K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,838 |
1,755 |
$57K |
| 87430 |
|
3,165 |
2,973 |
$46K |
| 87400 |
|
8,494 |
4,006 |
$42K |
| 87077 |
|
3,838 |
3,450 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
1,959 |
1,836 |
$22K |
| 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 |
367 |
317 |
$19K |
| 81001 |
|
4,145 |
3,698 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,493 |
2,285 |
$15K |
| 87449 |
|
803 |
763 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
785 |
696 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
43 |
40 |
$8K |
| 81025 |
|
1,782 |
1,618 |
$6K |
| 83735 |
|
617 |
551 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,831 |
894 |
$5K |
| 83690 |
|
554 |
475 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
125 |
114 |
$3K |
| 80306 |
|
237 |
211 |
$3K |
| 81003 |
|
1,882 |
1,737 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
24 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
228 |
198 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,678 |
1,539 |
$2K |
| G0378 |
Hospital observation service, per hour |
28 |
26 |
$2K |
| 82150 |
|
245 |
219 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
889 |
821 |
$1K |
| 0002A |
|
38 |
30 |
$1K |
| 82553 |
|
79 |
65 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
38 |
$957.06 |
| 0001A |
|
21 |
21 |
$800.00 |
| 84484 |
|
79 |
65 |
$775.61 |
| 82550 |
|
93 |
78 |
$758.69 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
94 |
89 |
$623.50 |
| 80061 |
Lipid panel |
25 |
25 |
$523.50 |
| 83655 |
|
34 |
33 |
$521.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
488 |
458 |
$485.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$366.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
999 |
909 |
$295.24 |
| 76801 |
|
12 |
12 |
$269.60 |
| 84439 |
|
14 |
14 |
$186.48 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$147.96 |
| 87186 |
|
15 |
14 |
$101.10 |
| 82947 |
|
28 |
24 |
$97.65 |
| 82950 |
|
12 |
12 |
$84.84 |
| 87070 |
|
13 |
12 |
$84.77 |
| 85610 |
|
20 |
13 |
$51.93 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
16 |
15 |
$38.61 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
14 |
$27.90 |
| 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 |
25 |
25 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
122 |
111 |
$0.00 |
| 91300 |
|
81 |
60 |
$0.00 |