| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,417 |
17,150 |
$4.15M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,979 |
10,830 |
$3.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,309 |
14,190 |
$2.31M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,597 |
2,594 |
$1.79M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
392 |
392 |
$1.36M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,192 |
8,968 |
$1.09M |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,422 |
6,227 |
$257K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,407 |
2,392 |
$226K |
| 80053 |
Comprehensive metabolic panel |
10,430 |
9,927 |
$98K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,272 |
13,564 |
$91K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,463 |
2,418 |
$88K |
| 36415 |
Collection of venous blood by venipuncture |
9,279 |
8,941 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,327 |
1,318 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
380 |
379 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
4,982 |
4,912 |
$59K |
| 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 |
692 |
681 |
$56K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
351 |
351 |
$48K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
115 |
115 |
$47K |
| 80050 |
General health panel |
1,565 |
1,564 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
744 |
732 |
$44K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,471 |
1,466 |
$44K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
301 |
283 |
$40K |
| 62323 |
|
85 |
83 |
$35K |
| 42830 |
|
14 |
14 |
$32K |
| 81001 |
|
10,200 |
10,037 |
$32K |
| 87088 |
|
3,297 |
3,216 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
431 |
428 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,025 |
3,857 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,043 |
1,855 |
$18K |
| 86710 |
|
1,198 |
1,187 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,092 |
2,036 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
161 |
161 |
$14K |
| 80081 |
|
195 |
195 |
$12K |
| 80061 |
Lipid panel |
974 |
974 |
$11K |
| 42821 |
|
13 |
13 |
$10K |
| 83690 |
|
1,824 |
1,791 |
$10K |
| 83655 |
|
843 |
832 |
$9K |
| 72110 |
|
287 |
287 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
282 |
280 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
282 |
280 |
$8K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
34 |
25 |
$7K |
| 87081 |
|
1,012 |
1,010 |
$7K |
| 81025 |
|
1,012 |
1,003 |
$7K |
| 84484 |
|
669 |
621 |
$7K |
| 20610 |
|
53 |
50 |
$7K |
| 84439 |
|
943 |
940 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
722 |
711 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
389 |
389 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
393 |
390 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
65 |
$5K |
| 82947 |
|
1,379 |
1,346 |
$5K |
| 87581 |
|
150 |
150 |
$4K |
| 87486 |
|
150 |
150 |
$4K |
| 62321 |
|
13 |
13 |
$4K |
| 84703 |
|
639 |
634 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
261 |
134 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
404 |
404 |
$3K |
| 83735 |
|
380 |
372 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,578 |
2,566 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
25 |
12 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,985 |
3,841 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
27 |
$1K |
| 83880 |
|
37 |
37 |
$1K |
| 85014 |
|
520 |
520 |
$1K |
| 72050 |
|
29 |
29 |
$1K |
| 87653 |
|
36 |
36 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,042 |
918 |
$1K |
| 84481 |
|
67 |
66 |
$866.59 |
| 86803 |
|
78 |
78 |
$862.92 |
| 86787 |
|
78 |
77 |
$776.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
80 |
75 |
$766.92 |
| 86756 |
|
49 |
49 |
$643.18 |
| 80306 |
|
32 |
32 |
$472.75 |
| 81000 |
|
131 |
131 |
$433.18 |
| 87077 |
|
62 |
62 |
$304.26 |
| 82728 |
|
26 |
26 |
$303.00 |
| 72100 |
|
12 |
12 |
$251.60 |
| 80305 |
|
26 |
24 |
$251.46 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
468 |
457 |
$235.77 |
| 85027 |
|
41 |
37 |
$234.78 |
| 83550 |
|
25 |
25 |
$186.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.40 |
| 83540 |
|
25 |
25 |
$138.00 |
| 86038 |
|
13 |
13 |
$135.75 |
| 86140 |
|
13 |
13 |
$59.93 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,013 |
1,005 |
$45.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,346 |
1,152 |
$31.65 |
| 86592 |
|
12 |
12 |
$15.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
353 |
340 |
$8.64 |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$6.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,172 |
2,144 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
394 |
382 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
69 |
68 |
$0.00 |
| 36000 |
|
152 |
151 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
98 |
98 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
33 |
30 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
860 |
846 |
$0.00 |
| C1758 |
Catheter, ureteral |
75 |
75 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
12 |
12 |
$0.00 |