| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,142 |
3,566 |
$617K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,332 |
1,114 |
$271K |
| 80053 |
Comprehensive metabolic panel |
3,201 |
2,747 |
$216K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
135 |
101 |
$206K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,992 |
4,216 |
$138K |
| 36415 |
Collection of venous blood by venipuncture |
2,384 |
1,971 |
$58K |
| 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 |
319 |
246 |
$47K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
485 |
393 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
740 |
679 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
235 |
224 |
$14K |
| 86140 |
|
345 |
283 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
317 |
$8K |
| 87070 |
|
155 |
137 |
$8K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
85 |
38 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
97 |
79 |
$5K |
| 80061 |
Lipid panel |
105 |
100 |
$5K |
| 87807 |
|
81 |
78 |
$4K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
22 |
20 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
99 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
54 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
97 |
87 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
82 |
66 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
25 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
95 |
72 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
22 |
20 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
211 |
101 |
$1K |
| 84484 |
|
16 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$881.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
91 |
66 |
$854.74 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
25 |
$787.31 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
15 |
13 |
$699.22 |
| 81003 |
|
90 |
78 |
$659.59 |
| A9270 |
Non-covered item or service |
541 |
309 |
$657.51 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
51 |
27 |
$436.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$391.71 |
| 81025 |
|
13 |
12 |
$370.13 |
| 81001 |
|
41 |
37 |
$355.41 |
| J2704 |
Injection, propofol, 10 mg |
88 |
31 |
$342.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
26 |
$333.26 |
| A0425 |
Ground mileage, per statute mile |
14 |
12 |
$304.22 |
| 81002 |
|
49 |
44 |
$295.47 |
| 85610 |
|
18 |
12 |
$260.51 |
| 85027 |
|
12 |
12 |
$188.43 |
| T1015 |
Clinic visit/encounter, all-inclusive |
35 |
29 |
$0.00 |