| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,627 |
1,357 |
$195K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,429 |
1,023 |
$172K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,377 |
785 |
$155K |
| 80053 |
Comprehensive metabolic panel |
3,391 |
2,676 |
$117K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,801 |
2,843 |
$79K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
731 |
695 |
$62K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
977 |
727 |
$50K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
555 |
505 |
$36K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
567 |
132 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
75 |
58 |
$26K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
182 |
105 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
616 |
589 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
375 |
349 |
$20K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
402 |
316 |
$19K |
| 80061 |
Lipid panel |
675 |
649 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
303 |
185 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
617 |
553 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
940 |
785 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
2,569 |
1,910 |
$15K |
| 84484 |
|
493 |
326 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
353 |
239 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
617 |
537 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
321 |
207 |
$12K |
| J3490 |
Unclassified drugs |
900 |
355 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
553 |
289 |
$11K |
| 83605 |
|
470 |
313 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
140 |
128 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
448 |
432 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
224 |
153 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
474 |
465 |
$8K |
| 81001 |
|
645 |
529 |
$8K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
525 |
478 |
$7K |
| 80050 |
General health panel |
39 |
37 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
114 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
94 |
63 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
72 |
50 |
$4K |
| 81003 |
|
910 |
867 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
171 |
112 |
$3K |
| 87040 |
|
82 |
38 |
$2K |
| 87634 |
|
82 |
78 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
88 |
65 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$2K |
| 85027 |
|
91 |
82 |
$2K |
| 83655 |
|
41 |
40 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
61 |
39 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
362 |
81 |
$1K |
| 87077 |
|
77 |
61 |
$1K |
| 87081 |
|
40 |
40 |
$1K |
| 84145 |
|
33 |
24 |
$1K |
| 86140 |
|
36 |
27 |
$1K |
| 81025 |
|
59 |
54 |
$1K |
| 86803 |
|
15 |
13 |
$597.28 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$586.69 |
| 87186 |
|
26 |
25 |
$552.63 |
| 82962 |
|
41 |
12 |
$466.09 |
| 85018 |
|
79 |
79 |
$372.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
22 |
13 |
$274.62 |
| J2704 |
Injection, propofol, 10 mg |
22 |
13 |
$241.52 |
| 85610 |
|
38 |
16 |
$62.53 |