| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,287 |
5,554 |
$601K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,108 |
4,283 |
$494K |
| 80053 |
Comprehensive metabolic panel |
7,266 |
6,208 |
$249K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,256 |
1,800 |
$246K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,155 |
1,908 |
$234K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,015 |
9,259 |
$184K |
| G0378 |
Hospital observation service, per hour |
843 |
341 |
$158K |
| 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 |
1,268 |
1,176 |
$141K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,686 |
2,347 |
$105K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,865 |
1,683 |
$86K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,150 |
1,013 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,958 |
2,847 |
$80K |
| 36415 |
Collection of venous blood by venipuncture |
5,121 |
4,234 |
$55K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,355 |
1,198 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,045 |
896 |
$33K |
| 84484 |
|
1,432 |
1,207 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
536 |
489 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
804 |
643 |
$26K |
| 81001 |
|
2,544 |
2,249 |
$25K |
| 83605 |
|
1,226 |
1,053 |
$24K |
| 82553 |
|
1,064 |
897 |
$23K |
| 82550 |
|
1,279 |
1,069 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
69 |
63 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
493 |
462 |
$18K |
| 86140 |
|
1,147 |
1,030 |
$16K |
| 83880 |
|
448 |
404 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
250 |
232 |
$15K |
| 80305 |
|
356 |
293 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
748 |
681 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
21 |
13 |
$13K |
| 80061 |
Lipid panel |
398 |
377 |
$12K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
679 |
581 |
$10K |
| 83735 |
|
529 |
459 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
68 |
55 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
245 |
221 |
$9K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
40 |
33 |
$9K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
64 |
58 |
$8K |
| 73630 |
|
114 |
91 |
$8K |
| 83690 |
|
444 |
375 |
$8K |
| 87400 |
|
236 |
219 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,092 |
994 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
172 |
157 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
59 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
239 |
225 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
254 |
224 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
250 |
206 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
187 |
175 |
$3K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
12 |
12 |
$2K |
| 85652 |
|
208 |
186 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
354 |
305 |
$2K |
| 96376 |
|
22 |
12 |
$2K |
| 81025 |
|
146 |
124 |
$2K |
| 81003 |
|
298 |
259 |
$2K |
| 94760 |
|
150 |
66 |
$2K |
| 87430 |
|
55 |
52 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
40 |
33 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
20 |
12 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$1K |
| 84146 |
|
25 |
25 |
$965.60 |
| 74021 |
|
14 |
12 |
$956.65 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
13 |
$877.68 |
| 83655 |
|
27 |
24 |
$861.97 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
62 |
61 |
$750.16 |
| 87581 |
|
40 |
33 |
$725.97 |
| 87486 |
|
40 |
33 |
$721.73 |
| 84439 |
|
40 |
40 |
$615.24 |
| 82150 |
|
27 |
25 |
$493.59 |
| 82077 |
|
18 |
13 |
$458.55 |
| 84550 |
|
34 |
26 |
$388.33 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
22 |
14 |
$375.65 |
| 82607 |
|
16 |
16 |
$367.18 |
| 80076 |
|
15 |
13 |
$344.08 |
| 85027 |
|
27 |
25 |
$337.58 |
| 82728 |
|
13 |
13 |
$330.99 |
| 87081 |
|
27 |
25 |
$309.16 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
25 |
15 |
$282.60 |
| 85018 |
|
25 |
24 |
$256.33 |
| 83550 |
|
13 |
13 |
$199.92 |
| 83540 |
|
13 |
13 |
$161.48 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
16 |
16 |
$108.12 |
| 87807 |
|
15 |
15 |
$96.33 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
16 |
14 |
$94.40 |
| A9270 |
Non-covered item or service |
16 |
14 |
$0.00 |