| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,958 |
16,012 |
$929K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,246 |
6,072 |
$315K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,618 |
1,502 |
$165K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,801 |
1,657 |
$124K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
165 |
156 |
$16K |
| 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 |
256 |
255 |
$14K |
| 80053 |
Comprehensive metabolic panel |
856 |
795 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
143 |
141 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
136 |
127 |
$5K |
| 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 |
234 |
233 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
269 |
256 |
$3K |
| 81025 |
|
421 |
409 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
76 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
600 |
548 |
$3K |
| 85027 |
|
331 |
303 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
38 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
63 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
56 |
55 |
$765.25 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$392.37 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
12 |
$308.27 |
| 81001 |
|
75 |
72 |
$297.53 |
| 81003 |
|
197 |
184 |
$277.35 |
| 80047 |
|
14 |
12 |
$208.71 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$113.78 |
| 83605 |
|
13 |
12 |
$104.67 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
87 |
81 |
$86.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
13 |
$42.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
25 |
$42.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
14 |
$12.79 |
| A9270 |
Non-covered item or service |
104 |
68 |
$0.00 |