| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,967 |
10,298 |
$5.76M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27,123 |
26,214 |
$3.93M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,052 |
10,737 |
$230K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,247 |
9,045 |
$188K |
| 71045 |
Radiologic examination, chest; single view |
6,238 |
6,026 |
$119K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,485 |
2,257 |
$108K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,039 |
937 |
$80K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,841 |
1,716 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,042 |
5,920 |
$64K |
| 85027 |
|
13,107 |
12,039 |
$52K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,407 |
5,001 |
$48K |
| 87634 |
|
974 |
962 |
$47K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
347 |
339 |
$46K |
| 80053 |
Comprehensive metabolic panel |
4,267 |
3,878 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
142 |
134 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
786 |
705 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
595 |
555 |
$32K |
| 76801 |
|
315 |
279 |
$30K |
| 87081 |
|
4,521 |
4,435 |
$26K |
| 93976 |
|
255 |
227 |
$24K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
877 |
782 |
$23K |
| 81001 |
|
6,801 |
6,538 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
702 |
692 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,510 |
4,200 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
68 |
65 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
69 |
$6K |
| 84702 |
|
582 |
521 |
$5K |
| 83690 |
|
1,680 |
1,583 |
$5K |
| 80076 |
|
813 |
784 |
$4K |
| 81025 |
|
675 |
665 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
438 |
410 |
$4K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
12 |
12 |
$4K |
| 84484 |
|
1,552 |
1,341 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
173 |
162 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,818 |
1,600 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,079 |
730 |
$2K |
| 81003 |
|
917 |
891 |
$2K |
| 84703 |
|
636 |
608 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
79 |
76 |
$2K |
| 86900 |
|
614 |
580 |
$1K |
| 83880 |
|
204 |
191 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
38 |
$1K |
| 86901 |
|
614 |
580 |
$870.99 |
| 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 |
31 |
28 |
$784.52 |
| 82248 |
|
646 |
603 |
$758.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
88 |
57 |
$636.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$547.84 |
| 84030 |
|
74 |
69 |
$527.02 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$427.52 |
| 85610 |
|
305 |
282 |
$371.35 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
762 |
655 |
$361.22 |
| 74018 |
|
12 |
12 |
$273.07 |
| 83605 |
|
64 |
49 |
$165.31 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
118 |
92 |
$102.17 |
| 82077 |
|
38 |
38 |
$99.50 |
| 85730 |
|
73 |
67 |
$60.60 |
| 87040 |
|
13 |
13 |
$34.68 |
| 83735 |
|
17 |
14 |
$33.29 |
| A9270 |
Non-covered item or service |
2,006 |
669 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
77 |
69 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$0.00 |