| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,181 |
4,868 |
$235K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,170 |
4,667 |
$224K |
| 87631 |
|
500 |
491 |
$56K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
432 |
408 |
$42K |
| 80053 |
Comprehensive metabolic panel |
2,581 |
2,170 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,725 |
4,118 |
$22K |
| 85027 |
|
1,892 |
1,841 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
239 |
226 |
$21K |
| 83655 |
|
1,172 |
1,157 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
936 |
805 |
$10K |
| 80061 |
Lipid panel |
593 |
584 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
167 |
141 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
214 |
207 |
$7K |
| 81001 |
|
1,893 |
1,714 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
36 |
33 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
79 |
69 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
44 |
44 |
$3K |
| 87070 |
|
316 |
307 |
$3K |
| 89220 |
|
213 |
209 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
27 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
69 |
60 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
138 |
126 |
$1K |
| 87077 |
|
108 |
105 |
$1K |
| 87430 |
|
114 |
113 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
65 |
49 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
42 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
54 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
75 |
67 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
101 |
95 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
123 |
104 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
114 |
103 |
$976.67 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
14 |
$885.69 |
| 87186 |
|
65 |
63 |
$872.75 |
| G0378 |
Hospital observation service, per hour |
24 |
14 |
$754.93 |
| 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 |
168 |
113 |
$708.89 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
15 |
$607.90 |
| 82247 |
|
67 |
38 |
$500.42 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$440.77 |
| 84484 |
|
49 |
37 |
$428.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
26 |
$326.60 |
| 86850 |
|
25 |
25 |
$227.29 |
| 86762 |
|
25 |
25 |
$227.29 |
| 85610 |
|
72 |
52 |
$193.20 |
| 85730 |
|
55 |
49 |
$192.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
17 |
$179.31 |
| 87420 |
|
13 |
13 |
$172.02 |
| 86901 |
|
25 |
25 |
$159.18 |
| 86592 |
|
25 |
25 |
$159.18 |
| 86900 |
|
25 |
25 |
$124.69 |
| 83690 |
|
16 |
15 |
$119.22 |
| 86140 |
|
14 |
12 |
$87.69 |
| 82248 |
|
18 |
12 |
$67.44 |
| 85651 |
|
13 |
12 |
$58.82 |
| 85007 |
|
21 |
12 |
$45.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
16 |
$35.39 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
368 |
348 |
$24.78 |
| 36415 |
Collection of venous blood by venipuncture |
492 |
438 |
$6.21 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
17 |
12 |
$2.70 |
| A9270 |
Non-covered item or service |
39 |
26 |
$0.00 |
| 36416 |
|
31 |
31 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
38 |
33 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18 |
16 |
$0.00 |