| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,173 |
2,820 |
$178K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
948 |
805 |
$173K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,048 |
3,638 |
$142K |
| 80053 |
Comprehensive metabolic panel |
3,675 |
3,079 |
$30K |
| 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 |
482 |
443 |
$23K |
| 86710 |
|
1,463 |
1,336 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
788 |
651 |
$18K |
| 80055 |
|
274 |
255 |
$17K |
| 85027 |
|
5,212 |
4,094 |
$15K |
| 87430 |
|
1,021 |
932 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
373 |
172 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
227 |
216 |
$9K |
| 80305 |
|
1,311 |
1,009 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
226 |
57 |
$7K |
| 76801 |
|
342 |
269 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
609 |
536 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
399 |
374 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
547 |
485 |
$5K |
| 83655 |
|
301 |
281 |
$4K |
| 83021 |
|
287 |
267 |
$4K |
| 84702 |
|
443 |
348 |
$4K |
| 85014 |
|
1,355 |
1,227 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
108 |
94 |
$4K |
| 85018 |
|
1,185 |
1,061 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
267 |
252 |
$3K |
| 86756 |
|
176 |
166 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
153 |
43 |
$3K |
| 82105 |
|
148 |
136 |
$3K |
| 80061 |
Lipid panel |
143 |
134 |
$2K |
| 82677 |
|
85 |
79 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
14 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
88 |
87 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
57 |
43 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
48 |
38 |
$1K |
| 85660 |
|
289 |
269 |
$1K |
| 86592 |
|
252 |
226 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
294 |
222 |
$1K |
| 80081 |
|
12 |
12 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
520 |
453 |
$789.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
665 |
560 |
$671.89 |
| 86336 |
|
46 |
40 |
$611.20 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
157 |
137 |
$391.49 |
| 82553 |
|
67 |
52 |
$374.22 |
| 84484 |
|
68 |
52 |
$258.29 |
| 82550 |
|
67 |
52 |
$211.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$195.60 |
| 70360 |
|
12 |
12 |
$174.24 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
40 |
$135.63 |
| 71045 |
Radiologic examination, chest; single view |
15 |
14 |
$79.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
222 |
188 |
$76.40 |
| J2704 |
Injection, propofol, 10 mg |
335 |
255 |
$71.20 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
109 |
95 |
$67.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
236 |
182 |
$52.32 |
| 86677 |
|
14 |
12 |
$21.39 |
| 81001 |
|
14 |
12 |
$18.60 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
12 |
$12.84 |
| 81003 |
|
32 |
14 |
$9.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
186 |
$8.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,981 |
1,614 |
$5.50 |
| 84030 |
|
141 |
122 |
$0.00 |
| J3490 |
Unclassified drugs |
52 |
37 |
$0.00 |