| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,728 |
3,457 |
$621K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,820 |
2,622 |
$401K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,263 |
1,156 |
$199K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
391 |
370 |
$58K |
| 80053 |
Comprehensive metabolic panel |
2,281 |
2,031 |
$53K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
84 |
66 |
$30K |
| 62323 |
|
12 |
12 |
$11K |
| J3490 |
Unclassified drugs |
3,073 |
1,869 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
13 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
51 |
49 |
$5K |
| 0002A |
|
62 |
59 |
$5K |
| 87400 |
|
117 |
108 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
80 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,290 |
1,130 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
79 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,052 |
2,683 |
$3K |
| 0001A |
|
24 |
24 |
$2K |
| 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 |
105 |
53 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
166 |
128 |
$2K |
| 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 |
91 |
53 |
$1K |
| 84484 |
|
29 |
25 |
$978.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
57 |
$890.59 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
227 |
195 |
$818.36 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
694 |
631 |
$677.01 |
| 80061 |
Lipid panel |
40 |
28 |
$597.50 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
151 |
139 |
$400.84 |
| 83880 |
|
15 |
13 |
$399.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
72 |
$272.01 |
| 85379 |
|
17 |
15 |
$181.58 |
| 81003 |
|
165 |
139 |
$126.55 |
| 71045 |
Radiologic examination, chest; single view |
54 |
49 |
$85.97 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
142 |
122 |
$80.75 |
| 83690 |
|
74 |
65 |
$38.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$37.48 |
| 81001 |
|
319 |
288 |
$6.01 |
| A4215 |
Needle, sterile, any size, each |
179 |
173 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
65 |
58 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
248 |
236 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
77 |
52 |
$0.00 |
| 82150 |
|
27 |
24 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
86 |
79 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
48 |
39 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
118 |
88 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
128 |
96 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
67 |
63 |
$0.00 |
| A4550 |
Surgical trays |
71 |
69 |
$0.00 |