| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,828 |
10,754 |
$1.80M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,049 |
2,007 |
$530K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,038 |
1,029 |
$384K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,158 |
2,128 |
$304K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
981 |
978 |
$96K |
| 80053 |
Comprehensive metabolic panel |
4,236 |
4,149 |
$58K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,047 |
4,941 |
$32K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,031 |
995 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,060 |
1,022 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
531 |
529 |
$25K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
157 |
156 |
$11K |
| 83605 |
|
1,116 |
1,018 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
615 |
614 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
39 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
400 |
396 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
196 |
193 |
$6K |
| 81025 |
|
531 |
527 |
$4K |
| 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 |
123 |
122 |
$3K |
| 81003 |
|
346 |
344 |
$2K |
| 83690 |
|
416 |
410 |
$2K |
| 81001 |
|
788 |
781 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
36 |
36 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
283 |
283 |
$1K |
| 84484 |
|
82 |
78 |
$853.93 |
| 87807 |
|
57 |
57 |
$672.03 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
602 |
591 |
$231.80 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
65 |
$230.91 |
| 83735 |
|
13 |
13 |
$77.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
108 |
107 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
52 |
52 |
$0.00 |