| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,069 |
776 |
$384K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,543 |
1,239 |
$275K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
347 |
225 |
$143K |
| 70450 |
Computed tomography, head or brain; without contrast material |
191 |
138 |
$54K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,048 |
268 |
$54K |
| 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 |
575 |
489 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
535 |
368 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
32 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,357 |
1,467 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
2,814 |
1,368 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
363 |
246 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
318 |
249 |
$19K |
| 80050 |
General health panel |
443 |
358 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,061 |
1,433 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$13K |
| G0378 |
Hospital observation service, per hour |
137 |
41 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
240 |
130 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
161 |
127 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
99 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
157 |
123 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
66 |
56 |
$7K |
| 80061 |
Lipid panel |
323 |
289 |
$7K |
| 81001 |
|
941 |
731 |
$7K |
| 83735 |
|
573 |
422 |
$6K |
| 84439 |
|
430 |
375 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
244 |
222 |
$5K |
| 83690 |
|
376 |
281 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
98 |
90 |
$4K |
| 97014 |
|
112 |
38 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
75 |
46 |
$4K |
| 86803 |
|
148 |
135 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
86 |
26 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
406 |
302 |
$4K |
| 82607 |
|
98 |
92 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
33 |
30 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
35 |
33 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
253 |
193 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$3K |
| 73130 |
|
30 |
24 |
$3K |
| 82550 |
|
230 |
186 |
$3K |
| 87040 |
|
113 |
66 |
$2K |
| 82553 |
|
145 |
109 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
182 |
161 |
$2K |
| 83605 |
|
121 |
81 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
161 |
131 |
$2K |
| 73630 |
|
14 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
67 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$2K |
| 87077 |
|
313 |
159 |
$1K |
| 0012A |
|
95 |
94 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
234 |
121 |
$1K |
| 81025 |
|
113 |
81 |
$1K |
| 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 |
93 |
89 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
391 |
267 |
$1K |
| 87081 |
|
66 |
54 |
$1K |
| 87807 |
|
31 |
27 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
189 |
111 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
25 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$976.32 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
27 |
12 |
$964.16 |
| 0011A |
|
93 |
91 |
$952.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
173 |
138 |
$548.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
373 |
275 |
$500.52 |
| 85379 |
|
39 |
31 |
$479.51 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
40 |
28 |
$478.56 |
| 83880 |
|
15 |
12 |
$448.22 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
18 |
$447.25 |
| 87186 |
|
28 |
24 |
$353.05 |
| 84703 |
|
35 |
29 |
$342.06 |
| 85652 |
|
39 |
35 |
$271.52 |
| 82947 |
|
48 |
13 |
$241.31 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18 |
13 |
$222.04 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
13 |
13 |
$199.86 |
| 86140 |
|
17 |
16 |
$185.24 |
| 83540 |
|
12 |
12 |
$174.39 |
| 85610 |
|
29 |
19 |
$121.14 |