| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
3,704 |
3,430 |
$1.40M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,569 |
5,356 |
$830K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,908 |
2,688 |
$738K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,890 |
2,711 |
$501K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,377 |
10,576 |
$333K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,242 |
2,087 |
$236K |
| 80053 |
Comprehensive metabolic panel |
7,543 |
7,024 |
$103K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,135 |
2,946 |
$96K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,063 |
1,029 |
$84K |
| 36415 |
Collection of venous blood by venipuncture |
999 |
912 |
$18K |
| Y7507 |
|
83 |
75 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
444 |
407 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
305 |
291 |
$10K |
| 84484 |
|
898 |
809 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
42 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
153 |
149 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
121 |
116 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$5K |
| 83690 |
|
363 |
342 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
81 |
77 |
$2K |
| 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 |
99 |
97 |
$2K |
| 81025 |
|
374 |
361 |
$2K |
| 81001 |
|
448 |
424 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$2K |
| Y7506 |
|
12 |
12 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$790.72 |
| 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 |
99 |
97 |
$750.00 |
| J3490 |
Unclassified drugs |
245 |
163 |
$560.91 |
| 81003 |
|
156 |
152 |
$218.48 |