| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
994 |
937 |
$151K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,245 |
1,190 |
$93K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
683 |
656 |
$79K |
| G0378 |
Hospital observation service, per hour |
56 |
56 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
767 |
749 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
110 |
107 |
$19K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
520 |
481 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
170 |
165 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
198 |
193 |
$12K |
| 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 |
143 |
138 |
$12K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
724 |
709 |
$12K |
| 80050 |
General health panel |
274 |
266 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,112 |
986 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
279 |
274 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,742 |
1,461 |
$8K |
| 87428 |
|
144 |
144 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
494 |
480 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
641 |
603 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
261 |
243 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
590 |
534 |
$4K |
| 84484 |
|
468 |
420 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
327 |
313 |
$3K |
| 80061 |
Lipid panel |
222 |
220 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
68 |
66 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
308 |
289 |
$2K |
| 83735 |
|
475 |
376 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
70 |
$2K |
| 83690 |
|
420 |
393 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
53 |
53 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
244 |
232 |
$2K |
| 81001 |
|
639 |
608 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
125 |
$2K |
| 85730 |
|
297 |
282 |
$2K |
| 81025 |
|
344 |
326 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
247 |
246 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
31 |
27 |
$1K |
| 85610 |
|
399 |
353 |
$1K |
| 80306 |
|
82 |
82 |
$1K |
| 81003 |
|
334 |
314 |
$986.16 |
| 83880 |
|
56 |
56 |
$910.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
47 |
46 |
$886.42 |
| 71250 |
|
13 |
13 |
$815.67 |
| 73630 |
|
67 |
67 |
$807.30 |
| 82607 |
|
58 |
58 |
$734.74 |
| 87040 |
|
42 |
41 |
$688.80 |
| 82550 |
|
119 |
113 |
$638.62 |
| 85379 |
|
66 |
65 |
$521.52 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
18 |
18 |
$455.40 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
17 |
17 |
$428.40 |
| 82553 |
|
62 |
58 |
$423.50 |
| 84439 |
|
51 |
51 |
$415.32 |
| 84145 |
|
27 |
25 |
$346.45 |
| 80076 |
|
45 |
42 |
$314.07 |
| 94726 |
|
12 |
12 |
$292.16 |
| 86618 |
|
12 |
12 |
$282.40 |
| 84466 |
|
12 |
12 |
$244.80 |
| 73610 |
|
13 |
13 |
$230.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$219.24 |
| 82565 |
|
42 |
37 |
$207.63 |
| 87807 |
|
13 |
13 |
$192.01 |
| 87081 |
|
34 |
34 |
$174.72 |
| 83605 |
|
27 |
26 |
$163.20 |
| 85651 |
|
51 |
49 |
$148.20 |
| 82728 |
|
12 |
12 |
$145.91 |
| 82948 |
|
107 |
79 |
$136.80 |
| 83540 |
|
12 |
12 |
$121.80 |
| 87186 |
|
12 |
12 |
$76.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
438 |
412 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,061 |
948 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
394 |
385 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
575 |
526 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
325 |
289 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
27 |
25 |
$0.00 |