| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,527 |
1,423 |
$600K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
927 |
851 |
$198K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,102 |
989 |
$38K |
| 80053 |
Comprehensive metabolic panel |
4,760 |
4,054 |
$29K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
596 |
568 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,344 |
4,387 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
935 |
874 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
93 |
$8K |
| 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 |
404 |
379 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
77 |
67 |
$7K |
| 84703 |
|
1,324 |
1,202 |
$7K |
| 83880 |
|
629 |
575 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
634 |
602 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
61 |
$5K |
| 84484 |
|
1,519 |
852 |
$4K |
| 81001 |
|
2,342 |
2,096 |
$4K |
| 87088 |
|
880 |
813 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
48 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
820 |
745 |
$3K |
| 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 |
384 |
361 |
$3K |
| 83690 |
|
702 |
649 |
$2K |
| 86850 |
|
115 |
106 |
$1K |
| 76801 |
|
13 |
12 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
538 |
430 |
$1K |
| 85610 |
|
927 |
819 |
$1K |
| 85730 |
|
601 |
565 |
$998.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$793.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
827 |
707 |
$704.10 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
100 |
98 |
$685.95 |
| 83735 |
|
569 |
414 |
$665.46 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
212 |
202 |
$570.52 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
276 |
234 |
$496.26 |
| 83605 |
|
196 |
129 |
$482.27 |
| 86901 |
|
243 |
223 |
$383.10 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
306 |
268 |
$330.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
303 |
240 |
$316.38 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
45 |
36 |
$296.11 |
| 84702 |
|
16 |
16 |
$237.40 |
| 86900 |
|
145 |
135 |
$210.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
80 |
$186.01 |
| 87077 |
|
49 |
36 |
$131.43 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$131.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
45 |
43 |
$112.75 |
| 87040 |
|
26 |
13 |
$52.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
37 |
$39.10 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
25 |
$36.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
44 |
$22.13 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
106 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
30 |
28 |
$0.00 |
| 84100 |
|
13 |
12 |
$0.00 |