| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,342 |
15,103 |
$2.04M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,052 |
9,083 |
$1.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,391 |
3,865 |
$537K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,590 |
3,173 |
$433K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,263 |
3,780 |
$350K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,207 |
1,118 |
$348K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,933 |
2,679 |
$342K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,615 |
1,476 |
$280K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,281 |
1,170 |
$254K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
999 |
908 |
$219K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,340 |
2,238 |
$177K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,825 |
2,515 |
$133K |
| 80053 |
Comprehensive metabolic panel |
9,608 |
8,475 |
$118K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
480 |
450 |
$98K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,107 |
983 |
$89K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
881 |
819 |
$83K |
| 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 |
885 |
837 |
$63K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,038 |
2,674 |
$61K |
| 71045 |
Radiologic examination, chest; single view |
4,580 |
4,115 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
771 |
738 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,141 |
9,651 |
$34K |
| 81003 |
|
2,317 |
2,144 |
$31K |
| 81025 |
|
2,151 |
1,921 |
$31K |
| 81001 |
|
5,372 |
4,691 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
831 |
789 |
$30K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,888 |
2,532 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,442 |
1,196 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
679 |
601 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
838 |
740 |
$19K |
| 80050 |
General health panel |
549 |
529 |
$18K |
| 73630 |
|
239 |
214 |
$18K |
| 73564 |
|
298 |
267 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,068 |
3,502 |
$15K |
| 84484 |
|
3,075 |
2,296 |
$13K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,103 |
3,272 |
$12K |
| 74018 |
|
253 |
245 |
$12K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
307 |
66 |
$12K |
| 82947 |
|
833 |
665 |
$9K |
| 83605 |
|
1,803 |
1,381 |
$8K |
| 73610 |
|
106 |
93 |
$8K |
| 83690 |
|
2,208 |
1,964 |
$8K |
| 87040 |
|
1,711 |
955 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,306 |
2,957 |
$6K |
| 83880 |
|
506 |
427 |
$6K |
| 85610 |
|
905 |
776 |
$5K |
| 87186 |
|
911 |
736 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,393 |
1,256 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
68 |
$4K |
| 80061 |
Lipid panel |
1,119 |
1,088 |
$4K |
| 73130 |
|
53 |
46 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
863 |
825 |
$4K |
| 87420 |
|
89 |
87 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,108 |
1,855 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$3K |
| 73030 |
|
42 |
41 |
$3K |
| 85730 |
|
510 |
459 |
$3K |
| 84702 |
|
227 |
174 |
$3K |
| 87077 |
|
667 |
523 |
$3K |
| 83735 |
|
544 |
503 |
$3K |
| 84439 |
|
481 |
465 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,111 |
1,056 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
399 |
321 |
$2K |
| 87634 |
|
12 |
12 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
640 |
571 |
$1K |
| 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 |
38 |
35 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,085 |
1,023 |
$900.84 |
| 82803 |
|
17 |
12 |
$721.85 |
| 36600 |
|
17 |
12 |
$721.85 |
| 72110 |
|
24 |
24 |
$559.79 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
47 |
39 |
$521.26 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
83 |
79 |
$415.79 |
| 73110 |
|
16 |
12 |
$297.52 |
| 83540 |
|
25 |
24 |
$257.89 |
| 86140 |
|
172 |
152 |
$232.52 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
30 |
12 |
$200.86 |
| 85651 |
|
169 |
156 |
$109.10 |
| 85380 |
|
89 |
87 |
$103.86 |
| 82077 |
|
26 |
26 |
$84.96 |
| 82607 |
|
30 |
26 |
$81.45 |
| 85027 |
|
30 |
29 |
$73.29 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
14 |
$68.51 |
| 86780 |
|
24 |
24 |
$64.22 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
99 |
90 |
$44.20 |
| 82728 |
|
26 |
26 |
$41.46 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
710 |
682 |
$25.94 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$25.47 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
118 |
110 |
$19.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
15 |
$12.12 |
| 86901 |
|
13 |
13 |
$6.48 |
| 84703 |
|
301 |
287 |
$4.92 |
| 85652 |
|
18 |
18 |
$2.73 |
| 82570 |
|
13 |
12 |
$2.46 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
209 |
185 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
145 |
119 |
$0.00 |
| 86900 |
|
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
24 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
33 |
33 |
$0.00 |
| 84145 |
|
14 |
13 |
$0.00 |