| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,365 |
13,611 |
$3.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,920 |
7,669 |
$2.48M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,400 |
14,020 |
$1.55M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,561 |
5,679 |
$203K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,922 |
1,762 |
$195K |
| G0378 |
Hospital observation service, per hour |
536 |
341 |
$98K |
| 71045 |
Radiologic examination, chest; single view |
5,003 |
4,300 |
$52K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
639 |
584 |
$33K |
| 59025 |
Fetal non-stress test |
481 |
267 |
$30K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
470 |
427 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26,429 |
22,735 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
730 |
675 |
$27K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
26 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
601 |
536 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,111 |
1,777 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,818 |
1,582 |
$23K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,967 |
2,687 |
$21K |
| 80053 |
Comprehensive metabolic panel |
9,558 |
8,382 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
449 |
395 |
$18K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,453 |
1,295 |
$16K |
| 84484 |
|
3,707 |
2,963 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
152 |
130 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,194 |
1,897 |
$9K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
256 |
128 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,365 |
5,330 |
$6K |
| 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 |
89 |
80 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
352 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
704 |
642 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
176 |
149 |
$5K |
| 87430 |
|
1,186 |
1,060 |
$4K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
18 |
13 |
$4K |
| 71250 |
|
87 |
79 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
79 |
73 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,075 |
906 |
$2K |
| 81025 |
|
1,916 |
1,728 |
$2K |
| 80061 |
Lipid panel |
277 |
258 |
$2K |
| 81001 |
|
9,594 |
8,325 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
74 |
65 |
$2K |
| 83690 |
|
3,405 |
2,899 |
$1K |
| 85730 |
|
1,144 |
950 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
943 |
759 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17,603 |
13,803 |
$940.53 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
803 |
652 |
$800.70 |
| 85610 |
|
1,452 |
1,212 |
$759.98 |
| 87420 |
|
37 |
32 |
$319.52 |
| 36415 |
Collection of venous blood by venipuncture |
456 |
216 |
$284.92 |
| 81003 |
|
1,011 |
906 |
$273.88 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$246.02 |
| 83735 |
|
226 |
196 |
$242.66 |
| 80076 |
|
11,759 |
10,063 |
$229.94 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
12 |
$172.07 |
| 85379 |
|
12 |
12 |
$162.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$147.36 |
| 83880 |
|
21 |
12 |
$135.72 |
| 82607 |
|
14 |
12 |
$125.28 |
| 85027 |
|
587 |
292 |
$109.77 |
| 82150 |
|
58 |
54 |
$106.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$84.47 |
| 83605 |
|
50 |
45 |
$62.31 |
| 94760 |
|
12 |
12 |
$39.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$25.06 |
| 87186 |
|
12 |
12 |
$17.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
28 |
$13.80 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$5.18 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
20 |
19 |
$0.02 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,209 |
1,059 |
$0.00 |
| 84702 |
|
153 |
133 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
206 |
176 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
80 |
$0.00 |
| 87631 |
|
229 |
218 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,673 |
1,435 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
287 |
234 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
41 |
37 |
$0.00 |
| J3490 |
Unclassified drugs |
53 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
12 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
50 |
39 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
37 |
$0.00 |
| 82077 |
|
61 |
51 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
28 |
24 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
33 |
27 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
26 |
26 |
$0.00 |
| 87081 |
|
15 |
15 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |