| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,144 |
4,446 |
$2.37M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,651 |
4,977 |
$1.99M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,285 |
3,847 |
$1.02M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,073 |
928 |
$287K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,602 |
1,368 |
$105K |
| OP370 |
|
535 |
424 |
$101K |
| OP710 |
|
543 |
430 |
$101K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,519 |
2,163 |
$90K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,463 |
1,154 |
$90K |
| G0378 |
Hospital observation service, per hour |
106 |
91 |
$90K |
| 80053 |
Comprehensive metabolic panel |
7,745 |
6,310 |
$78K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,020 |
1,652 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,249 |
1,045 |
$58K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,184 |
2,661 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
2,758 |
2,301 |
$57K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
301 |
269 |
$46K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,502 |
6,671 |
$42K |
| 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 |
450 |
420 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
590 |
537 |
$24K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,458 |
1,204 |
$22K |
| OP250 |
|
15,890 |
7,507 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
740 |
707 |
$20K |
| 86900 |
|
1,193 |
1,011 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
107 |
104 |
$17K |
| 59025 |
Fetal non-stress test |
91 |
83 |
$16K |
| 81001 |
|
4,226 |
3,666 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
8,994 |
6,748 |
$15K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
780 |
702 |
$14K |
| OP272 |
|
651 |
541 |
$14K |
| 84484 |
|
2,132 |
1,690 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,012 |
837 |
$10K |
| 86850 |
|
1,057 |
869 |
$8K |
| 83735 |
|
1,649 |
1,412 |
$8K |
| 81025 |
|
2,149 |
1,833 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
108 |
94 |
$7K |
| 83690 |
|
2,254 |
1,929 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
51 |
$6K |
| 87088 |
|
1,458 |
1,293 |
$6K |
| 86901 |
|
1,207 |
1,004 |
$5K |
| 87428 |
|
258 |
239 |
$5K |
| 85610 |
|
1,168 |
1,025 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
568 |
370 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
440 |
326 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,945 |
2,438 |
$4K |
| 82962 |
|
230 |
139 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
204 |
182 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
50 |
12 |
$3K |
| 0012A |
|
101 |
99 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
33 |
24 |
$3K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
774 |
558 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
45 |
39 |
$2K |
| 0011A |
|
93 |
93 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
49 |
12 |
$2K |
| 76820 |
|
45 |
25 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
157 |
132 |
$2K |
| 87071 |
|
233 |
205 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
24 |
$2K |
| 84703 |
|
478 |
462 |
$1K |
| 82948 |
|
214 |
162 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,670 |
1,327 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
371 |
298 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
932 |
609 |
$920.54 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
36 |
$877.58 |
| 36416 |
|
126 |
102 |
$707.29 |
| 83605 |
|
163 |
142 |
$699.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
176 |
151 |
$673.47 |
| 85379 |
|
160 |
137 |
$649.21 |
| 87040 |
|
65 |
48 |
$582.58 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
99 |
90 |
$543.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
618 |
345 |
$493.31 |
| 73564 |
|
23 |
12 |
$488.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,345 |
1,025 |
$482.25 |
| 85730 |
|
100 |
100 |
$458.13 |
| 83880 |
|
38 |
36 |
$445.25 |
| 84702 |
|
45 |
39 |
$311.65 |
| OP258 |
|
209 |
178 |
$300.68 |
| OP270 |
|
149 |
122 |
$267.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
540 |
433 |
$259.70 |
| 87070 |
|
55 |
54 |
$197.02 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
139 |
106 |
$128.70 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
74 |
42 |
$81.69 |
| 87807 |
|
58 |
40 |
$81.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
27 |
$71.52 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
93 |
81 |
$53.51 |
| OP255 |
|
14 |
13 |
$47.11 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
28 |
12 |
$41.54 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
26 |
12 |
$38.32 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
59 |
50 |
$21.57 |
| J3490 |
Unclassified drugs |
12 |
12 |
$16.19 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
12 |
$6.86 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
20 |
12 |
$2.00 |