| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37,779 |
32,904 |
$2.42M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36,794 |
31,162 |
$1.37M |
| 80053 |
Comprehensive metabolic panel |
41,550 |
35,471 |
$445K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
46,111 |
38,780 |
$386K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
11,241 |
9,136 |
$373K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,307 |
13,189 |
$346K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,514 |
3,297 |
$141K |
| 80061 |
Lipid panel |
8,488 |
7,710 |
$140K |
| 87561 |
|
4,335 |
3,288 |
$135K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,333 |
9,556 |
$119K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,860 |
5,301 |
$95K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,343 |
5,760 |
$83K |
| D9420 |
|
268 |
215 |
$56K |
| 81003 |
|
19,520 |
16,678 |
$52K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,701 |
471 |
$51K |
| 80055 |
|
629 |
566 |
$45K |
| 86780 |
|
2,226 |
1,901 |
$39K |
| 80305 |
|
4,065 |
3,403 |
$38K |
| 87081 |
|
3,212 |
2,738 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,951 |
2,471 |
$27K |
| 59025 |
Fetal non-stress test |
6,074 |
3,583 |
$27K |
| 87420 |
|
2,024 |
1,460 |
$25K |
| 82607 |
|
1,282 |
1,125 |
$22K |
| 87430 |
|
2,374 |
1,596 |
$21K |
| 86701 |
|
1,745 |
1,530 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,596 |
1,315 |
$17K |
| 86850 |
|
2,754 |
2,337 |
$17K |
| 85027 |
|
3,918 |
3,105 |
$17K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
132 |
68 |
$17K |
| 86762 |
|
835 |
731 |
$16K |
| 82746 |
|
1,132 |
999 |
$15K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
12 |
12 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,088 |
181 |
$14K |
| 74022 |
|
551 |
485 |
$13K |
| G0378 |
Hospital observation service, per hour |
226 |
198 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,259 |
1,004 |
$12K |
| 84481 |
|
671 |
614 |
$11K |
| 87340 |
|
875 |
759 |
$11K |
| 81025 |
|
3,171 |
2,826 |
$11K |
| 93970 |
|
366 |
316 |
$11K |
| 83690 |
|
1,361 |
1,143 |
$10K |
| 82105 |
|
375 |
337 |
$8K |
| 82950 |
|
1,280 |
1,133 |
$8K |
| 84439 |
|
807 |
742 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
97 |
88 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
35 |
35 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,099 |
861 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$7K |
| 83605 |
|
731 |
592 |
$6K |
| 84702 |
|
578 |
450 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,516 |
1,318 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
170 |
143 |
$6K |
| 87070 |
|
489 |
444 |
$5K |
| 86592 |
|
1,104 |
951 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
38 |
13 |
$5K |
| 84484 |
|
689 |
520 |
$4K |
| 86901 |
|
1,550 |
1,302 |
$4K |
| 82150 |
|
587 |
501 |
$4K |
| 82728 |
|
401 |
303 |
$4K |
| 86900 |
|
1,368 |
1,148 |
$4K |
| 83550 |
|
226 |
216 |
$3K |
| 97014 |
|
428 |
67 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
187 |
28 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$3K |
| 93925 |
|
75 |
64 |
$3K |
| 80164 |
|
121 |
113 |
$3K |
| 86803 |
|
163 |
141 |
$3K |
| 84703 |
|
409 |
355 |
$2K |
| 97161 |
|
53 |
47 |
$2K |
| 83540 |
|
243 |
232 |
$2K |
| 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 |
52 |
49 |
$2K |
| 85610 |
|
628 |
521 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
83 |
39 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
13 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
23 |
13 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$2K |
| 85651 |
|
383 |
333 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
53 |
41 |
$2K |
| 82550 |
|
320 |
266 |
$2K |
| 83655 |
|
138 |
90 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
51 |
$1K |
| 82570 |
|
116 |
107 |
$887.00 |
| 85014 |
|
280 |
254 |
$876.06 |
| 85018 |
|
279 |
253 |
$871.48 |
| 83735 |
|
129 |
107 |
$853.96 |
| 82947 |
|
172 |
158 |
$792.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
684 |
580 |
$771.34 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$704.82 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
49 |
46 |
$700.00 |
| 85730 |
|
356 |
292 |
$635.08 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
51 |
$631.56 |
| 86140 |
|
326 |
261 |
$596.25 |
| 84156 |
|
116 |
108 |
$593.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
13 |
$560.17 |
| 70486 |
|
18 |
12 |
$528.42 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
16 |
$473.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
340 |
285 |
$470.68 |
| 83021 |
|
21 |
18 |
$414.97 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
79 |
63 |
$395.64 |
| 80069 |
|
47 |
41 |
$375.36 |
| 87186 |
|
45 |
36 |
$366.55 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$341.04 |
| 80047 |
|
59 |
31 |
$280.60 |
| 82043 |
|
49 |
46 |
$266.80 |
| 81001 |
|
72 |
61 |
$254.49 |
| 87040 |
|
46 |
25 |
$218.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
13 |
$215.68 |
| 80076 |
|
36 |
25 |
$213.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
648 |
526 |
$154.67 |
| 87077 |
|
14 |
12 |
$143.68 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,183 |
1,820 |
$132.23 |
| 85660 |
|
21 |
18 |
$120.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
251 |
187 |
$96.47 |
| A0425 |
Ground mileage, per statute mile |
5,226 |
3,432 |
$84.54 |
| 36415 |
Collection of venous blood by venipuncture |
3,457 |
2,104 |
$76.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
15 |
12 |
$69.03 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
49 |
36 |
$33.59 |
| 81015 |
|
13 |
12 |
$9.09 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,128 |
1,085 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
91 |
60 |
$0.00 |
| 93018 |
|
15 |
14 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
151 |
112 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
14 |
13 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,921 |
1,448 |
$0.00 |
| 80364 |
|
65 |
62 |
$0.00 |
| 80347 |
|
65 |
62 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
158 |
134 |
$0.00 |
| 80326 |
|
65 |
62 |
$0.00 |