| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
630 |
584 |
$73K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
725 |
678 |
$65K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,464 |
497 |
$58K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
761 |
707 |
$54K |
| 87631 |
|
171 |
165 |
$23K |
| 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 |
247 |
238 |
$22K |
| 80050 |
General health panel |
412 |
398 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
101 |
98 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,316 |
1,113 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
340 |
327 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
199 |
187 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,687 |
1,369 |
$9K |
| 80061 |
Lipid panel |
647 |
634 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
289 |
286 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
156 |
151 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
368 |
341 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
330 |
321 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
533 |
478 |
$5K |
| 83735 |
|
615 |
459 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
53 |
51 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
473 |
403 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
270 |
231 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
166 |
164 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
166 |
164 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
67 |
65 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
491 |
470 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
44 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
33 |
$3K |
| 84702 |
|
171 |
146 |
$3K |
| 84439 |
|
338 |
332 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
307 |
300 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
369 |
362 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
117 |
94 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
118 |
100 |
$2K |
| 84484 |
|
270 |
232 |
$2K |
| 85027 |
|
285 |
257 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
127 |
$2K |
| 81001 |
|
705 |
648 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
320 |
298 |
$2K |
| 87480 |
|
77 |
75 |
$2K |
| 83880 |
|
62 |
55 |
$2K |
| 87077 |
|
228 |
218 |
$2K |
| 87660 |
|
77 |
75 |
$2K |
| 80320 |
|
147 |
134 |
$2K |
| 80076 |
|
194 |
167 |
$2K |
| 83721 |
|
159 |
156 |
$2K |
| 82607 |
|
122 |
121 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
51 |
51 |
$2K |
| 76830 |
Ultrasound, transvaginal |
30 |
29 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
33 |
25 |
$1K |
| 82728 |
|
108 |
101 |
$1K |
| 73564 |
|
62 |
57 |
$1K |
| 87186 |
|
152 |
145 |
$1K |
| 83690 |
|
258 |
239 |
$1K |
| 83605 |
|
173 |
150 |
$1K |
| 0001A |
|
34 |
34 |
$1K |
| 85730 |
|
187 |
171 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$1K |
| 82570 |
|
148 |
145 |
$1K |
| 87081 |
|
188 |
182 |
$1K |
| 82043 |
|
125 |
124 |
$1K |
| 85610 |
|
317 |
251 |
$1K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
43 |
43 |
$893.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
119 |
116 |
$892.55 |
| 82784 |
|
28 |
27 |
$843.19 |
| 0002A |
|
19 |
19 |
$800.00 |
| 87040 |
|
47 |
42 |
$788.20 |
| 97161 |
|
12 |
12 |
$760.67 |
| 73630 |
|
64 |
59 |
$728.55 |
| 73610 |
|
41 |
37 |
$717.00 |
| 82746 |
|
60 |
60 |
$709.20 |
| 84100 |
|
110 |
71 |
$705.06 |
| 73110 |
|
55 |
48 |
$664.15 |
| 85652 |
|
191 |
173 |
$567.00 |
| 86618 |
|
21 |
21 |
$543.69 |
| 73030 |
|
37 |
35 |
$538.20 |
| 83615 |
|
72 |
53 |
$537.86 |
| 0012A |
|
15 |
15 |
$504.00 |
| 84460 |
|
65 |
63 |
$481.68 |
| 72110 |
|
23 |
23 |
$469.25 |
| 84703 |
|
48 |
45 |
$459.80 |
| 84153 |
|
17 |
14 |
$455.60 |
| 84450 |
|
62 |
60 |
$445.46 |
| 81003 |
|
142 |
139 |
$438.09 |
| 84550 |
|
72 |
57 |
$430.15 |
| 85379 |
|
51 |
48 |
$427.18 |
| 84146 |
|
15 |
15 |
$391.20 |
| 96376 |
|
48 |
35 |
$386.64 |
| 86140 |
|
131 |
117 |
$380.17 |
| 83540 |
|
43 |
42 |
$345.69 |
| 82565 |
|
50 |
45 |
$337.76 |
| 73130 |
|
25 |
24 |
$335.25 |
| 81025 |
|
83 |
83 |
$321.20 |
| 74018 |
|
29 |
28 |
$318.51 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
136 |
123 |
$301.81 |
| 80329 |
|
37 |
36 |
$278.19 |
| 86038 |
|
17 |
17 |
$277.50 |
| 87510 |
|
53 |
48 |
$270.72 |
| 82550 |
|
33 |
29 |
$250.96 |
| 82105 |
|
12 |
12 |
$220.00 |
| 84520 |
|
31 |
26 |
$166.90 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
57 |
44 |
$121.95 |
| 82248 |
|
16 |
15 |
$121.23 |
| 86592 |
|
31 |
29 |
$114.40 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
49 |
40 |
$108.64 |
| 87070 |
|
16 |
15 |
$97.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
207 |
182 |
$94.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$94.50 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
238 |
196 |
$76.16 |
| 82150 |
|
15 |
14 |
$66.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
39 |
39 |
$19.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$10.96 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
104 |
$3.30 |