| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
5,818 |
5,085 |
$380K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,093 |
985 |
$179K |
| 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 |
2,226 |
1,884 |
$173K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,110 |
1,066 |
$163K |
| 99199 |
Unlisted special service, procedure or report |
2,001 |
1,739 |
$105K |
| 80053 |
Comprehensive metabolic panel |
6,776 |
6,073 |
$100K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,851 |
469 |
$93K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,584 |
1,434 |
$90K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,469 |
1,239 |
$80K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,176 |
1,008 |
$69K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,806 |
2,740 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,379 |
5,691 |
$64K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,705 |
1,579 |
$51K |
| 0250 |
|
2,343 |
1,311 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
388 |
318 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
638 |
598 |
$40K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,235 |
1,922 |
$37K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
895 |
772 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
663 |
595 |
$23K |
| 87631 |
|
318 |
309 |
$23K |
| 80061 |
Lipid panel |
1,563 |
1,553 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,398 |
1,388 |
$19K |
| 97750 |
|
209 |
104 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
26 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,138 |
1,062 |
$14K |
| 84484 |
|
876 |
737 |
$14K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
700 |
400 |
$12K |
| 84439 |
|
956 |
942 |
$12K |
| 81001 |
|
1,886 |
1,742 |
$9K |
| 83690 |
|
1,013 |
902 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
216 |
206 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
145 |
119 |
$9K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,516 |
1,186 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
259 |
259 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
347 |
266 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
91 |
91 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
443 |
351 |
$7K |
| 85027 |
|
795 |
761 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
126 |
123 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
894 |
787 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
228 |
224 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
32 |
28 |
$4K |
| 83605 |
|
318 |
282 |
$4K |
| 83880 |
|
147 |
128 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
25 |
$3K |
| 85610 |
|
614 |
549 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
645 |
565 |
$3K |
| 87070 |
|
219 |
213 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,779 |
2,451 |
$3K |
| 82550 |
|
369 |
333 |
$3K |
| 83735 |
|
379 |
352 |
$3K |
| J3490 |
Unclassified drugs |
846 |
480 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
35 |
26 |
$2K |
| 81003 |
|
546 |
525 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
205 |
166 |
$2K |
| 86140 |
|
245 |
228 |
$1K |
| 85379 |
|
101 |
95 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
323 |
257 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
116 |
110 |
$1K |
| 85730 |
|
73 |
67 |
$735.58 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
31 |
12 |
$594.66 |
| 81025 |
|
79 |
79 |
$559.64 |
| 86703 |
|
38 |
38 |
$556.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
80 |
$524.25 |
| 82553 |
|
31 |
27 |
$473.06 |
| 73030 |
|
24 |
12 |
$423.63 |
| 99070 |
|
75 |
69 |
$311.63 |
| 87040 |
|
30 |
27 |
$262.93 |
| 87400 |
|
15 |
15 |
$257.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$237.72 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
54 |
53 |
$228.93 |
| 86141 |
|
20 |
20 |
$197.54 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$193.79 |
| 0270 |
|
96 |
55 |
$181.09 |
| 82150 |
|
21 |
12 |
$166.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$129.90 |
| 86592 |
|
24 |
24 |
$107.87 |
| 85651 |
|
14 |
14 |
$72.40 |
| 82570 |
|
13 |
12 |
$61.88 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
35 |
26 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
144 |
96 |
$0.00 |