| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,971 |
18,839 |
$4.81M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,659 |
15,596 |
$2.64M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,630 |
3,615 |
$1.36M |
| 87631 |
|
4,783 |
4,774 |
$599K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,547 |
4,504 |
$593K |
| 80053 |
Comprehensive metabolic panel |
16,875 |
16,721 |
$243K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,802 |
3,618 |
$181K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,961 |
2,853 |
$140K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,282 |
18,089 |
$121K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
489 |
489 |
$81K |
| 71045 |
Radiologic examination, chest; single view |
5,316 |
5,292 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,536 |
1,527 |
$43K |
| 84703 |
|
5,705 |
5,665 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
629 |
629 |
$32K |
| 81001 |
|
7,481 |
7,411 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
51 |
51 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,648 |
2,609 |
$15K |
| 83690 |
|
2,570 |
2,551 |
$14K |
| 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 |
204 |
204 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
134 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
54 |
54 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
176 |
176 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
14 |
14 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,830 |
961 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
38 |
38 |
$5K |
| 84484 |
|
484 |
404 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
88 |
88 |
$4K |
| 87807 |
|
227 |
227 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$3K |
| 74230 |
|
31 |
31 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
155 |
149 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
41 |
41 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
155 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$2K |
| 87070 |
|
149 |
148 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$945.00 |
| 94060 |
|
28 |
28 |
$533.37 |
| 94761 |
|
527 |
522 |
$481.98 |
| 71250 |
|
14 |
14 |
$473.64 |
| 83605 |
|
28 |
26 |
$277.83 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$253.53 |
| 74018 |
|
13 |
13 |
$251.44 |
| 87430 |
|
17 |
17 |
$242.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$219.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
556 |
541 |
$204.32 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
38 |
$158.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24 |
24 |
$150.78 |
| 83735 |
|
25 |
25 |
$143.04 |
| 82550 |
|
13 |
13 |
$81.06 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
14 |
14 |
$15.84 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
111 |
110 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 92611 |
|
31 |
31 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
30 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$0.00 |