| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
956 |
884 |
$227K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
770 |
739 |
$118K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,567 |
395 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
130 |
111 |
$39K |
| 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 |
447 |
424 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
436 |
410 |
$22K |
| 80053 |
Comprehensive metabolic panel |
4,088 |
3,664 |
$15K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
384 |
294 |
$14K |
| 80061 |
Lipid panel |
1,018 |
1,013 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,997 |
4,982 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
303 |
293 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,902 |
3,484 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,183 |
1,159 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
112 |
94 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
187 |
183 |
$6K |
| 0012A |
|
168 |
166 |
$5K |
| 0011A |
|
170 |
159 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
26 |
25 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
42 |
39 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$2K |
| 81001 |
|
1,699 |
1,601 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
39 |
14 |
$928.24 |
| 87400 |
|
138 |
138 |
$884.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
148 |
$877.30 |
| 0064A |
|
19 |
19 |
$719.15 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$389.93 |
| 84439 |
|
59 |
56 |
$249.72 |
| 86710 |
|
39 |
39 |
$225.12 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
107 |
96 |
$207.56 |
| 83735 |
|
143 |
124 |
$175.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
50 |
$127.14 |
| 83690 |
|
127 |
118 |
$93.71 |
| 87081 |
|
16 |
16 |
$50.00 |
| 80305 |
|
26 |
25 |
$37.38 |
| 86140 |
|
27 |
26 |
$35.75 |
| 84484 |
|
50 |
38 |
$9.86 |
| 82150 |
|
15 |
13 |
$8.14 |
| 81015 |
|
85 |
81 |
$2.45 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,024 |
472 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
26 |
$0.00 |