| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52,853 |
49,123 |
$6.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42,246 |
38,188 |
$6.37M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20,860 |
18,632 |
$831K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,492 |
6,183 |
$602K |
| G0378 |
Hospital observation service, per hour |
4,673 |
3,291 |
$477K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
882 |
720 |
$220K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,012 |
4,776 |
$202K |
| 59025 |
Fetal non-stress test |
1,702 |
1,161 |
$146K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,728 |
4,468 |
$124K |
| 71046 |
Radiologic examination, chest; 2 views |
6,457 |
5,933 |
$95K |
| 85027 |
|
32,046 |
28,335 |
$70K |
| 84484 |
|
9,485 |
7,706 |
$65K |
| 71045 |
Radiologic examination, chest; single view |
4,090 |
3,677 |
$58K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21,192 |
18,590 |
$53K |
| 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 |
734 |
685 |
$45K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28,049 |
24,442 |
$40K |
| 84703 |
|
10,240 |
9,464 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
70 |
56 |
$22K |
| 80053 |
Comprehensive metabolic panel |
8,271 |
7,406 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,888 |
5,251 |
$15K |
| 81001 |
|
8,881 |
8,087 |
$12K |
| 97597 |
|
356 |
170 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
150 |
64 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
912 |
754 |
$10K |
| 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 |
486 |
458 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
44 |
39 |
$8K |
| 83690 |
|
2,681 |
2,408 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
77 |
65 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
580 |
524 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
160 |
146 |
$6K |
| 93976 |
|
113 |
102 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,501 |
1,304 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
18 |
13 |
$5K |
| 93017 |
|
109 |
92 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
41 |
37 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
162 |
135 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
33 |
25 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
44 |
43 |
$1K |
| 77336 |
|
23 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
827 |
773 |
$959.07 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
25 |
$844.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
201 |
$745.57 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
450 |
397 |
$508.00 |
| 96376 |
|
120 |
65 |
$461.88 |
| 84443 |
Thyroid stimulating hormone (TSH) |
64 |
51 |
$263.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
90 |
75 |
$199.68 |
| 87070 |
|
84 |
76 |
$187.42 |
| 81003 |
|
494 |
436 |
$170.95 |
| 80061 |
Lipid panel |
36 |
27 |
$168.75 |
| 83735 |
|
56 |
39 |
$147.16 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
13 |
$143.50 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,065 |
902 |
$123.28 |
| 86850 |
|
96 |
69 |
$39.10 |
| 83880 |
|
20 |
14 |
$36.85 |
| 80076 |
|
48 |
42 |
$26.28 |
| 86900 |
|
99 |
72 |
$15.14 |
| 86901 |
|
99 |
72 |
$15.14 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$12.18 |
| 85610 |
|
87 |
62 |
$11.94 |
| J1790 |
Injection, droperidol, up to 5 mg |
61 |
55 |
$4.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
425 |
344 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
25 |
24 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
23 |
12 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
21 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
15 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
450 |
350 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
801 |
717 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,031 |
767 |
$0.00 |
| A9270 |
Non-covered item or service |
45 |
19 |
$0.00 |
| J3490 |
Unclassified drugs |
40 |
32 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
13 |
$0.00 |
| 85379 |
|
13 |
13 |
$0.00 |
| C1769 |
Guide wire |
21 |
12 |
$0.00 |