| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,559 |
6,208 |
$219K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,860 |
2,902 |
$44K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,944 |
2,047 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
811 |
667 |
$11K |
| 80053 |
Comprehensive metabolic panel |
10,650 |
8,070 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
410 |
346 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
542 |
496 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,694 |
2,235 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,748 |
671 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,327 |
1,788 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,165 |
8,190 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,635 |
2,018 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,334 |
1,090 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,426 |
1,172 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,055 |
389 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
15,740 |
11,251 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,901 |
2,005 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
829 |
505 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,446 |
1,819 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,190 |
1,562 |
$1K |
| 86140 |
|
2,266 |
1,738 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
920 |
536 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
859 |
585 |
$1K |
| 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 |
219 |
203 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
336 |
237 |
$989.23 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,183 |
1,515 |
$902.75 |
| 81001 |
|
2,684 |
2,100 |
$824.14 |
| 83605 |
|
1,279 |
847 |
$672.51 |
| 83690 |
|
1,777 |
1,388 |
$625.51 |
| 71045 |
Radiologic examination, chest; single view |
1,413 |
997 |
$624.64 |
| 87040 |
|
416 |
190 |
$618.62 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
760 |
614 |
$607.76 |
| G0378 |
Hospital observation service, per hour |
166 |
99 |
$549.63 |
| 85027 |
|
1,339 |
1,093 |
$537.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,588 |
1,324 |
$503.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,617 |
632 |
$470.67 |
| 97161 |
|
243 |
209 |
$451.44 |
| 84484 |
|
2,649 |
1,651 |
$427.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
95 |
$426.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,174 |
1,973 |
$400.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,477 |
3,101 |
$317.20 |
| 80061 |
Lipid panel |
2,042 |
1,890 |
$266.93 |
| 81003 |
|
1,383 |
1,169 |
$226.70 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
70 |
$204.60 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
980 |
751 |
$188.97 |
| 85651 |
|
633 |
537 |
$186.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,175 |
745 |
$176.46 |
| 85379 |
|
625 |
481 |
$164.31 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,643 |
1,114 |
$161.62 |
| 90834 |
Psychotherapy, 45 minutes with patient |
102 |
66 |
$148.86 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$144.80 |
| 97535 |
Self-care/home management training, each 15 minutes |
109 |
58 |
$137.87 |
| 96376 |
|
176 |
97 |
$134.63 |
| 87420 |
|
15 |
12 |
$111.46 |
| 87077 |
|
56 |
50 |
$110.29 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
78 |
70 |
$101.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
569 |
449 |
$94.67 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
78 |
49 |
$92.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$68.76 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
86 |
68 |
$62.98 |
| J2704 |
Injection, propofol, 10 mg |
574 |
313 |
$53.82 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
405 |
370 |
$47.95 |
| 84703 |
|
65 |
54 |
$46.30 |
| 85610 |
|
732 |
459 |
$33.84 |
| 87186 |
|
75 |
63 |
$32.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
25 |
$15.92 |
| 84439 |
|
99 |
87 |
$14.62 |
| 80305 |
|
356 |
289 |
$11.98 |
| 83735 |
|
140 |
116 |
$10.20 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
142 |
137 |
$0.00 |
| 73562 |
|
42 |
38 |
$0.00 |
| 73630 |
|
34 |
25 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
163 |
120 |
$0.00 |
| 73610 |
|
13 |
12 |
$0.00 |
| 73030 |
|
109 |
93 |
$0.00 |
| 72100 |
|
15 |
14 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
15 |
13 |
$0.00 |
| 83540 |
|
14 |
12 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
15 |
13 |
$0.00 |
| 86803 |
|
46 |
40 |
$0.00 |
| 85018 |
|
18 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
73 |
68 |
$0.00 |
| A9270 |
Non-covered item or service |
505 |
168 |
$0.00 |
| 85730 |
|
34 |
25 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
44 |
38 |
$0.00 |
| 97162 |
|
45 |
40 |
$0.00 |
| 83880 |
|
115 |
80 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$0.00 |
| 94760 |
|
44 |
14 |
$0.00 |