| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,416 |
5,497 |
$645K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,378 |
3,907 |
$359K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,494 |
1,190 |
$161K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,254 |
1,895 |
$83K |
| 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 |
664 |
626 |
$36K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,497 |
1,287 |
$29K |
| 86769 |
|
706 |
511 |
$27K |
| 80053 |
Comprehensive metabolic panel |
4,040 |
3,406 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,369 |
3,678 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,658 |
1,439 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,411 |
1,171 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
485 |
456 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,850 |
4,056 |
$9K |
| 84484 |
|
513 |
414 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,509 |
1,299 |
$5K |
| 81001 |
|
2,127 |
1,851 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
226 |
200 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,299 |
1,097 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
391 |
330 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
374 |
334 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
407 |
345 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
27 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
36 |
26 |
$1K |
| 83874 |
|
74 |
65 |
$861.47 |
| 83735 |
|
125 |
107 |
$633.51 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
60 |
51 |
$488.30 |
| 83605 |
|
57 |
51 |
$410.45 |
| 83880 |
|
42 |
37 |
$330.18 |
| 82150 |
|
46 |
41 |
$182.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
28 |
$126.16 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
103 |
83 |
$125.17 |
| 81025 |
|
26 |
26 |
$121.00 |
| 83690 |
|
29 |
27 |
$96.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
350 |
301 |
$80.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$69.39 |
| 86140 |
|
13 |
12 |
$15.50 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
20 |
14 |
$6.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
47 |
44 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
96 |
82 |
$0.00 |