| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,009 |
5,632 |
$410K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,381 |
8,826 |
$348K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
950 |
890 |
$245K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,963 |
2,454 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,546 |
1,488 |
$44K |
| 80053 |
Comprehensive metabolic panel |
4,413 |
4,125 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,516 |
2,359 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,368 |
4,990 |
$38K |
| 87081 |
|
1,920 |
1,799 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
831 |
811 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
705 |
697 |
$13K |
| 80061 |
Lipid panel |
707 |
698 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
217 |
212 |
$8K |
| 81001 |
|
2,105 |
1,959 |
$8K |
| 80306 |
|
544 |
510 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
132 |
123 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
303 |
283 |
$3K |
| 84436 |
|
565 |
559 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
736 |
662 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
24 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
309 |
289 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
20 |
12 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
401 |
368 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
681 |
640 |
$1K |
| 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 |
14 |
14 |
$707.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
561 |
518 |
$646.18 |
| 82553 |
|
12 |
12 |
$474.41 |
| 84484 |
|
15 |
12 |
$456.74 |
| 97602 |
|
38 |
26 |
$447.20 |
| 82550 |
|
12 |
12 |
$437.36 |
| 83721 |
|
49 |
49 |
$431.04 |
| 87070 |
|
35 |
34 |
$399.63 |
| 82150 |
|
75 |
64 |
$395.43 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
43 |
$377.44 |
| 87807 |
|
33 |
31 |
$358.15 |
| 83690 |
|
61 |
50 |
$315.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
413 |
390 |
$283.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
30 |
27 |
$234.65 |
| 81025 |
|
68 |
65 |
$223.31 |
| 86677 |
|
14 |
13 |
$213.90 |
| 0011A |
|
48 |
45 |
$200.00 |
| 0012A |
|
41 |
38 |
$160.00 |
| 81003 |
|
42 |
37 |
$78.96 |
| J2704 |
Injection, propofol, 10 mg |
812 |
757 |
$64.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
152 |
145 |
$32.96 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
73 |
63 |
$3.52 |
| J0697 |
Injection, sterile cefuroxime sodium, per 750 mg |
13 |
12 |
$2.93 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
74 |
63 |
$1.26 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
139 |
129 |
$0.48 |
| A9270 |
Non-covered item or service |
606 |
324 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
51 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
68 |
64 |
$0.00 |