| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,195 |
1,887 |
$298K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,641 |
1,313 |
$207K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,129 |
924 |
$161K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
433 |
401 |
$50K |
| 80053 |
Comprehensive metabolic panel |
6,359 |
5,118 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,258 |
5,724 |
$30K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
47 |
13 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
11,355 |
8,561 |
$20K |
| 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 |
269 |
251 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
312 |
243 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
719 |
623 |
$16K |
| 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 |
251 |
237 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
392 |
172 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
34 |
26 |
$4K |
| 80061 |
Lipid panel |
552 |
504 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
163 |
120 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
18 |
16 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
139 |
117 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
29 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
188 |
178 |
$1K |
| 81001 |
|
649 |
519 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
14 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
161 |
152 |
$853.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
162 |
155 |
$407.21 |
| 84439 |
|
165 |
140 |
$313.20 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$299.00 |
| 84484 |
|
52 |
41 |
$231.38 |
| 83735 |
|
117 |
111 |
$229.38 |
| 82607 |
|
107 |
103 |
$223.85 |
| 82746 |
|
106 |
102 |
$218.37 |
| 83874 |
|
50 |
40 |
$214.57 |
| 82553 |
|
50 |
40 |
$139.22 |
| 84550 |
|
127 |
121 |
$132.20 |
| 82550 |
|
52 |
41 |
$122.18 |
| 83615 |
|
28 |
24 |
$121.58 |
| 86141 |
|
41 |
40 |
$119.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
35 |
27 |
$100.85 |
| 82150 |
|
31 |
24 |
$99.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$91.14 |
| 83690 |
|
34 |
25 |
$81.89 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$49.26 |
| 86140 |
|
12 |
12 |
$46.09 |
| 85652 |
|
12 |
12 |
$24.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
105 |
77 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
14 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
14 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
19 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |