| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,915 |
5,606 |
$1.02M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,702 |
3,585 |
$802K |
| G0378 |
Hospital observation service, per hour |
340 |
225 |
$248K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,318 |
1,271 |
$225K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,557 |
1,442 |
$146K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
326 |
316 |
$56K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
344 |
330 |
$52K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
360 |
358 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
302 |
259 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
207 |
202 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
231 |
220 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
361 |
358 |
$8K |
| 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 |
145 |
140 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,506 |
1,389 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,015 |
2,729 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
342 |
331 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
244 |
231 |
$4K |
| 80053 |
Comprehensive metabolic panel |
726 |
640 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
947 |
856 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
240 |
213 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
129 |
124 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
15 |
$2K |
| 76830 |
Ultrasound, transvaginal |
39 |
38 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
148 |
142 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
99 |
94 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
142 |
139 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
83 |
74 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
39 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,400 |
1,351 |
$1K |
| 80076 |
|
263 |
254 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$931.82 |
| 71250 |
|
12 |
12 |
$930.77 |
| 76801 |
|
14 |
12 |
$751.03 |
| 83735 |
|
160 |
152 |
$710.86 |
| 72100 |
|
31 |
31 |
$666.74 |
| 71045 |
Radiologic examination, chest; single view |
349 |
329 |
$651.43 |
| 84484 |
|
393 |
322 |
$633.59 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$628.74 |
| 73564 |
|
42 |
40 |
$595.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
12 |
$573.32 |
| 73610 |
|
45 |
40 |
$527.08 |
| 73030 |
|
32 |
29 |
$464.17 |
| 81001 |
|
388 |
375 |
$387.74 |
| 36415 |
Collection of venous blood by venipuncture |
233 |
203 |
$383.82 |
| 73630 |
|
37 |
34 |
$371.30 |
| 85610 |
|
273 |
242 |
$306.03 |
| 81003 |
|
166 |
159 |
$179.51 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$175.00 |
| 83690 |
|
152 |
145 |
$166.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
54 |
$141.28 |
| 85730 |
|
123 |
110 |
$140.71 |
| 80320 |
|
16 |
13 |
$117.60 |
| 84702 |
|
26 |
25 |
$98.52 |
| 84439 |
|
28 |
28 |
$93.88 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
33 |
32 |
$31.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,053 |
956 |
$12.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,048 |
915 |
$12.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
28 |
25 |
$12.33 |
| J2704 |
Injection, propofol, 10 mg |
140 |
135 |
$8.92 |
| A9270 |
Non-covered item or service |
2,244 |
869 |
$4.72 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
68 |
59 |
$0.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
64 |
62 |
$0.00 |
| J3490 |
Unclassified drugs |
228 |
146 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
124 |
119 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
35 |
30 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
348 |
229 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
49 |
41 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
17 |
15 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
164 |
120 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
31 |
24 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
25 |
24 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
13 |
13 |
$0.00 |