| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,146 |
11,310 |
$2.67M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,490 |
6,245 |
$1.79M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,118 |
14,485 |
$681K |
| G0378 |
Hospital observation service, per hour |
1,731 |
1,362 |
$400K |
| 87428 |
|
3,787 |
3,727 |
$206K |
| 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 |
2,169 |
2,120 |
$155K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,994 |
3,353 |
$137K |
| 71045 |
Radiologic examination, chest; single view |
5,652 |
5,282 |
$136K |
| 80053 |
Comprehensive metabolic panel |
12,608 |
11,468 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,630 |
15,892 |
$125K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,480 |
2,386 |
$121K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,616 |
5,253 |
$101K |
| 59025 |
Fetal non-stress test |
1,097 |
723 |
$100K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
196 |
180 |
$99K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,614 |
1,245 |
$95K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,875 |
3,445 |
$72K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
475 |
442 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,867 |
2,766 |
$51K |
| 70450 |
Computed tomography, head or brain; without contrast material |
934 |
894 |
$49K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
494 |
293 |
$43K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
684 |
574 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
255 |
245 |
$42K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,457 |
4,079 |
$38K |
| 76801 |
|
335 |
304 |
$36K |
| 76818 |
|
287 |
237 |
$31K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
642 |
612 |
$30K |
| 83690 |
|
4,513 |
4,298 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,861 |
3,309 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
606 |
574 |
$26K |
| 87070 |
|
2,589 |
2,512 |
$25K |
| 84703 |
|
2,800 |
2,684 |
$22K |
| 82150 |
|
3,644 |
3,478 |
$22K |
| 83880 |
|
1,454 |
1,338 |
$20K |
| 81003 |
|
9,097 |
8,573 |
$19K |
| G0379 |
Direct admission of patient for hospital observation care |
159 |
144 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
215 |
203 |
$13K |
| 84484 |
|
2,625 |
2,150 |
$13K |
| 84702 |
|
934 |
843 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
555 |
551 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,500 |
1,631 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,128 |
943 |
$9K |
| 87486 |
|
197 |
180 |
$8K |
| 87581 |
|
194 |
178 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
620 |
363 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
232 |
231 |
$8K |
| 85730 |
|
3,123 |
2,792 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
214 |
211 |
$7K |
| 87040 |
|
1,061 |
570 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
91 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
29 |
$6K |
| 87088 |
|
997 |
971 |
$6K |
| 85610 |
|
3,119 |
2,787 |
$6K |
| 80061 |
Lipid panel |
356 |
353 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,675 |
3,322 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,463 |
3,195 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,501 |
1,247 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
161 |
136 |
$4K |
| 82607 |
|
203 |
202 |
$3K |
| 82948 |
|
2,039 |
679 |
$3K |
| 82746 |
|
189 |
189 |
$3K |
| 96376 |
|
216 |
144 |
$3K |
| 83525 |
|
178 |
177 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
235 |
232 |
$2K |
| 83605 |
|
471 |
411 |
$2K |
| 84439 |
|
153 |
152 |
$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 |
75 |
75 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
66 |
$1K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,125 |
1,090 |
$1K |
| 87186 |
|
354 |
318 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
24 |
24 |
$1K |
| 87077 |
|
347 |
327 |
$1K |
| 86901 |
|
547 |
516 |
$1K |
| 80076 |
|
98 |
97 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
50 |
49 |
$807.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$642.91 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
798 |
667 |
$641.42 |
| 87400 |
|
50 |
26 |
$591.30 |
| 86900 |
|
240 |
233 |
$529.13 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
34 |
34 |
$524.99 |
| 82947 |
|
116 |
109 |
$498.07 |
| 36415 |
Collection of venous blood by venipuncture |
21,327 |
17,143 |
$426.99 |
| 83735 |
|
82 |
60 |
$232.70 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
13 |
12 |
$157.84 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
15 |
12 |
$145.63 |
| S0028 |
Injection, famotidine, 20 mg |
296 |
274 |
$122.71 |
| 87340 |
|
27 |
25 |
$115.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
50 |
$105.69 |
| 85651 |
|
17 |
17 |
$85.94 |
| 87071 |
|
51 |
42 |
$78.28 |
| 72100 |
|
13 |
12 |
$75.58 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
171 |
165 |
$32.51 |
| 86140 |
|
26 |
26 |
$30.01 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
219 |
210 |
$20.90 |
| 83520 |
|
169 |
160 |
$15.71 |
| 87205 |
|
19 |
12 |
$7.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
286 |
266 |
$4.32 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
47 |
46 |
$0.12 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
48 |
43 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
72 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
44 |
12 |
$0.00 |