| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,666 |
9,909 |
$3.29M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,223 |
1,141 |
$219K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,065 |
3,754 |
$216K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,759 |
3,471 |
$214K |
| 80053 |
Comprehensive metabolic panel |
8,596 |
7,288 |
$139K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,483 |
7,963 |
$85K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
740 |
691 |
$75K |
| 71045 |
Radiologic examination, chest; single view |
3,242 |
2,913 |
$65K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,455 |
2,133 |
$65K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,086 |
1,016 |
$61K |
| 70450 |
Computed tomography, head or brain; without contrast material |
848 |
786 |
$29K |
| 80061 |
Lipid panel |
190 |
184 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
11,211 |
9,823 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
515 |
461 |
$24K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
907 |
855 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
100 |
87 |
$19K |
| 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 |
343 |
314 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
216 |
207 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
544 |
504 |
$17K |
| 84439 |
|
156 |
150 |
$16K |
| 81001 |
|
3,508 |
3,129 |
$15K |
| 93976 |
|
146 |
123 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
191 |
151 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
378 |
353 |
$10K |
| 76801 |
|
128 |
105 |
$9K |
| 84484 |
|
1,973 |
1,602 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,000 |
927 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
798 |
702 |
$7K |
| 81025 |
|
1,057 |
986 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
970 |
888 |
$6K |
| 0002A |
|
588 |
579 |
$6K |
| 83880 |
|
436 |
400 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
300 |
252 |
$5K |
| 0001A |
|
556 |
540 |
$4K |
| 84702 |
|
626 |
519 |
$4K |
| 83690 |
|
1,560 |
1,395 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
88 |
83 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
144 |
88 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
489 |
388 |
$3K |
| 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 |
204 |
196 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
682 |
523 |
$2K |
| 94760 |
|
148 |
121 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
679 |
611 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
22 |
22 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
13 |
$1K |
| 83735 |
|
618 |
529 |
$1K |
| 85027 |
|
497 |
397 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,136 |
870 |
$1K |
| 85610 |
|
873 |
775 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
48 |
$879.40 |
| 85730 |
|
412 |
376 |
$715.29 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
475 |
373 |
$708.69 |
| 81003 |
|
621 |
583 |
$637.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
206 |
170 |
$570.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$567.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,703 |
1,366 |
$557.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,348 |
791 |
$532.31 |
| 87420 |
|
15 |
13 |
$316.48 |
| 87430 |
|
44 |
37 |
$303.82 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,573 |
1,150 |
$281.80 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
354 |
307 |
$259.61 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$218.40 |
| 83605 |
|
54 |
45 |
$177.82 |
| 87186 |
|
77 |
66 |
$138.62 |
| 85007 |
|
84 |
77 |
$124.76 |
| 86901 |
|
61 |
58 |
$107.41 |
| 86900 |
|
64 |
58 |
$104.90 |
| 87077 |
|
28 |
26 |
$85.55 |
| 82728 |
|
32 |
31 |
$79.59 |
| 82962 |
|
902 |
513 |
$65.88 |
| 0012A |
|
94 |
92 |
$36.16 |
| 85379 |
|
14 |
12 |
$25.22 |
| 0011A |
|
31 |
30 |
$21.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
25 |
$8.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
51 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
47 |
24 |
$0.00 |
| 36592 |
|
57 |
47 |
$0.00 |