| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,352 |
4,723 |
$848K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,119 |
1,792 |
$316K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,185 |
793 |
$275K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,760 |
670 |
$267K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
409 |
271 |
$176K |
| 70450 |
Computed tomography, head or brain; without contrast material |
371 |
297 |
$137K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
640 |
483 |
$94K |
| 80053 |
Comprehensive metabolic panel |
3,811 |
3,189 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,241 |
903 |
$72K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,121 |
354 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
111 |
90 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,742 |
5,140 |
$36K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
350 |
179 |
$33K |
| 84443 |
Thyroid stimulating hormone (TSH) |
977 |
878 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
168 |
133 |
$28K |
| 80061 |
Lipid panel |
1,007 |
927 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,142 |
968 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
309 |
259 |
$20K |
| 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 |
122 |
117 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,610 |
1,105 |
$19K |
| 87631 |
|
80 |
65 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
567 |
505 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,407 |
1,190 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,941 |
3,715 |
$13K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
153 |
143 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
285 |
249 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
24 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
39 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,304 |
1,016 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
570 |
461 |
$6K |
| J3490 |
Unclassified drugs |
910 |
287 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
187 |
96 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
710 |
563 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
643 |
552 |
$4K |
| 81001 |
|
2,547 |
2,087 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
816 |
591 |
$3K |
| 82728 |
|
75 |
74 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
708 |
501 |
$2K |
| G0378 |
Hospital observation service, per hour |
52 |
28 |
$2K |
| 83735 |
|
438 |
323 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 97161 |
|
15 |
12 |
$2K |
| 84484 |
|
966 |
639 |
$2K |
| 82570 |
|
131 |
97 |
$2K |
| 82550 |
|
779 |
621 |
$2K |
| 86140 |
|
34 |
25 |
$1K |
| 83540 |
|
78 |
69 |
$1K |
| 82607 |
|
33 |
26 |
$1K |
| 87186 |
|
195 |
139 |
$1K |
| 83690 |
|
811 |
600 |
$1K |
| 83605 |
|
734 |
529 |
$1K |
| 87040 |
|
487 |
215 |
$979.49 |
| 84439 |
|
25 |
25 |
$959.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
135 |
$865.74 |
| 0001A |
|
37 |
24 |
$795.50 |
| 0002A |
|
29 |
19 |
$737.29 |
| 83550 |
|
58 |
55 |
$719.57 |
| 82043 |
|
37 |
26 |
$589.03 |
| 87070 |
|
15 |
13 |
$584.34 |
| 87088 |
|
119 |
95 |
$504.38 |
| E0570 |
Nebulizer, with compressor |
76 |
40 |
$497.51 |
| 80305 |
|
52 |
40 |
$467.90 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,690 |
867 |
$311.63 |
| 85610 |
|
146 |
122 |
$288.85 |
| 82150 |
|
61 |
42 |
$284.45 |
| 82248 |
|
329 |
252 |
$279.75 |
| 85652 |
|
15 |
12 |
$175.43 |
| 81025 |
|
105 |
66 |
$83.76 |
| 87634 |
|
36 |
29 |
$64.64 |
| 82553 |
|
44 |
38 |
$48.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
659 |
466 |
$24.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
399 |
246 |
$21.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
66 |
25 |
$19.56 |
| 85379 |
|
40 |
37 |
$18.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
579 |
379 |
$17.17 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
306 |
217 |
$13.36 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
332 |
240 |
$0.73 |
| 91300 |
|
35 |
22 |
$0.26 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
325 |
247 |
$0.00 |
| 93041 |
|
34 |
27 |
$0.00 |
| 85730 |
|
60 |
50 |
$0.00 |
| A9270 |
Non-covered item or service |
633 |
75 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
31 |
26 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
22 |
14 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
16 |
13 |
$0.00 |