| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,300 |
20,583 |
$4.67M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29,721 |
28,059 |
$4.24M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,262 |
3,821 |
$1.35M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,482 |
7,736 |
$853K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
1,939 |
298 |
$523K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,375 |
2,285 |
$202K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,977 |
1,839 |
$191K |
| 97597 |
|
1,650 |
680 |
$165K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,864 |
3,487 |
$128K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
646 |
597 |
$117K |
| 71046 |
Radiologic examination, chest; 2 views |
1,535 |
1,430 |
$99K |
| 71045 |
Radiologic examination, chest; single view |
1,846 |
1,709 |
$99K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,290 |
2,067 |
$94K |
| 80050 |
General health panel |
1,728 |
1,641 |
$57K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
791 |
451 |
$52K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
252 |
116 |
$51K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12 |
12 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
214 |
196 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
18,021 |
15,803 |
$13K |
| 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 |
166 |
158 |
$10K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
12 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
277 |
98 |
$7K |
| 80053 |
Comprehensive metabolic panel |
22,136 |
19,965 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
54 |
48 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,507 |
5,680 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,897 |
23,171 |
$4K |
| 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 |
166 |
158 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,880 |
2,298 |
$3K |
| G0378 |
Hospital observation service, per hour |
253 |
182 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,063 |
2,856 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,668 |
1,450 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,738 |
2,552 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
155 |
138 |
$766.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
14 |
$746.24 |
| 81001 |
|
3,444 |
3,181 |
$728.73 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,192 |
5,531 |
$494.41 |
| J2704 |
Injection, propofol, 10 mg |
951 |
639 |
$490.20 |
| 83690 |
|
4,884 |
4,498 |
$462.62 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
12 |
$213.81 |
| 84484 |
|
4,755 |
3,235 |
$134.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,082 |
1,914 |
$91.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
108 |
86 |
$91.03 |
| 87480 |
|
15 |
14 |
$90.08 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,133 |
845 |
$61.69 |
| 80061 |
Lipid panel |
15 |
14 |
$58.12 |
| J3490 |
Unclassified drugs |
3,576 |
1,892 |
$54.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,280 |
1,089 |
$53.04 |
| 83880 |
|
138 |
126 |
$48.23 |
| 82077 |
|
440 |
388 |
$47.86 |
| 87510 |
|
15 |
14 |
$45.04 |
| 87660 |
|
15 |
14 |
$45.04 |
| 84703 |
|
1,925 |
1,777 |
$27.03 |
| 81003 |
|
2,223 |
2,032 |
$22.86 |
| 85730 |
|
893 |
806 |
$13.62 |
| 85610 |
|
1,093 |
1,000 |
$13.47 |
| 81025 |
|
1,166 |
1,095 |
$12.76 |
| 83605 |
|
736 |
656 |
$9.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,304 |
1,189 |
$8.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
733 |
523 |
$0.04 |
| 85379 |
|
72 |
67 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
40 |
$0.00 |
| 87081 |
|
148 |
141 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$0.00 |
| 83735 |
|
198 |
171 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$0.00 |
| 87147 |
|
26 |
25 |
$0.00 |
| 82550 |
|
63 |
54 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
29 |
27 |
$0.00 |
| 82553 |
|
63 |
54 |
$0.00 |
| 94760 |
|
23 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
13 |
$0.00 |
| 86140 |
|
16 |
13 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
15 |
12 |
$0.00 |
| 80143 |
|
79 |
72 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
317 |
305 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
278 |
244 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
129 |
109 |
$0.00 |
| 80179 |
|
78 |
72 |
$0.00 |
| 87420 |
|
28 |
28 |
$0.00 |
| 74018 |
|
14 |
14 |
$0.00 |