| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,992 |
6,682 |
$295K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,145 |
3,894 |
$282K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
999 |
921 |
$236K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,372 |
1,318 |
$147K |
| 80053 |
Comprehensive metabolic panel |
2,789 |
2,585 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
573 |
552 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,187 |
2,945 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
552 |
535 |
$22K |
| 87634 |
|
145 |
142 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
143 |
138 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
214 |
$3K |
| 87070 |
|
248 |
242 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
414 |
391 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
114 |
107 |
$1K |
| 81001 |
|
372 |
355 |
$1K |
| 80061 |
Lipid panel |
52 |
51 |
$1K |
| 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 |
20 |
20 |
$1K |
| 83735 |
|
114 |
107 |
$842.68 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
89 |
80 |
$762.10 |
| 84484 |
|
73 |
63 |
$547.85 |
| 83690 |
|
78 |
77 |
$520.44 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$473.99 |
| 81025 |
|
109 |
106 |
$423.86 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$269.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
118 |
112 |
$158.02 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$146.76 |
| 84439 |
|
12 |
12 |
$146.52 |
| 85610 |
|
12 |
12 |
$63.47 |
| 85027 |
|
16 |
15 |
$59.07 |
| 85730 |
|
12 |
12 |
$32.12 |
| 81003 |
|
13 |
13 |
$26.32 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
78 |
72 |
$23.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
61 |
50 |
$2.58 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
294 |
251 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
15 |
$0.00 |