| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,711 |
6,520 |
$1.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,789 |
4,663 |
$933K |
| 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 |
569 |
549 |
$54K |
| G0378 |
Hospital observation service, per hour |
39 |
37 |
$54K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
215 |
205 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
188 |
186 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
170 |
162 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
152 |
151 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,573 |
4,269 |
$11K |
| 80053 |
Comprehensive metabolic panel |
2,485 |
2,341 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
595 |
569 |
$8K |
| 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 |
222 |
210 |
$7K |
| 76642 |
|
86 |
84 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
263 |
252 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
151 |
150 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
976 |
905 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
57 |
53 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38 |
38 |
$6K |
| 76830 |
Ultrasound, transvaginal |
62 |
62 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
246 |
244 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
199 |
80 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
231 |
199 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
123 |
121 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,675 |
4,232 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
38 |
38 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
350 |
334 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,133 |
1,097 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
33 |
26 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
135 |
132 |
$3K |
| 85027 |
|
191 |
173 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
24 |
$2K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 84703 |
|
273 |
267 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
202 |
182 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$1K |
| 84484 |
|
371 |
329 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 93971 |
|
13 |
13 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
253 |
244 |
$895.54 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
40 |
37 |
$884.79 |
| 72100 |
|
29 |
28 |
$751.09 |
| 86900 |
|
57 |
53 |
$534.20 |
| 81001 |
|
242 |
239 |
$380.24 |
| 83690 |
|
143 |
142 |
$355.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
27 |
27 |
$353.28 |
| 85730 |
|
45 |
43 |
$308.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
24 |
$298.80 |
| 85610 |
|
91 |
86 |
$282.33 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
31 |
$279.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
29 |
$78.40 |
| 81003 |
|
60 |
58 |
$71.30 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,361 |
1,186 |
$69.75 |
| J2704 |
Injection, propofol, 10 mg |
458 |
368 |
$49.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,008 |
887 |
$42.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
286 |
254 |
$12.34 |
| J2060 |
Injection, lorazepam, 2 mg |
62 |
52 |
$6.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
206 |
162 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
80 |
73 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
95 |
69 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
188 |
180 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
77 |
73 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
226 |
197 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
21 |
15 |
$0.00 |