| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,370 |
4,005 |
$1.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,196 |
6,947 |
$978K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
750 |
728 |
$110K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,880 |
1,464 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,011 |
921 |
$30K |
| 80053 |
Comprehensive metabolic panel |
2,598 |
2,278 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
602 |
578 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
404 |
388 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,470 |
1,368 |
$16K |
| 85027 |
|
5,055 |
4,435 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,391 |
1,173 |
$13K |
| 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 |
214 |
210 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
5,359 |
4,771 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
661 |
581 |
$7K |
| 87430 |
|
323 |
310 |
$7K |
| 81001 |
|
710 |
651 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
151 |
139 |
$2K |
| 84484 |
|
846 |
612 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
86 |
76 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27 |
24 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
160 |
151 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
137 |
109 |
$1K |
| 83690 |
|
337 |
312 |
$993.45 |
| 87807 |
|
53 |
49 |
$923.15 |
| 81025 |
|
126 |
114 |
$713.44 |
| 83880 |
|
38 |
38 |
$230.86 |
| 85610 |
|
268 |
250 |
$167.20 |
| 81003 |
|
145 |
137 |
$106.47 |
| 85730 |
|
70 |
64 |
$60.60 |
| A9270 |
Non-covered item or service |
618 |
380 |
$15.44 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
73 |
68 |
$0.00 |