| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,588 |
5,505 |
$1.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,570 |
2,530 |
$827K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,026 |
3,984 |
$653K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
56 |
56 |
$220K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
776 |
756 |
$106K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
39 |
39 |
$38K |
| 80053 |
Comprehensive metabolic panel |
3,117 |
3,053 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,869 |
3,779 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
479 |
456 |
$22K |
| 87400 |
|
1,094 |
910 |
$22K |
| 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 |
187 |
186 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,238 |
4,081 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
833 |
821 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
234 |
232 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
75 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
315 |
312 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
94 |
93 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
237 |
233 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
30 |
$2K |
| 81001 |
|
756 |
721 |
$2K |
| 83690 |
|
341 |
331 |
$2K |
| 87081 |
|
251 |
248 |
$1K |
| 81025 |
|
212 |
211 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
159 |
158 |
$851.21 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$771.32 |
| 87807 |
|
60 |
58 |
$693.54 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
102 |
96 |
$673.58 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$478.53 |
| 83880 |
|
13 |
12 |
$453.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
29 |
$386.45 |
| 84484 |
|
28 |
26 |
$354.88 |
| 81003 |
|
88 |
88 |
$152.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,005 |
967 |
$39.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
18 |
18 |
$14.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
288 |
288 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
153 |
153 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
56 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
57 |
56 |
$0.00 |