| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,583 |
4,266 |
$1.67M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,764 |
11,464 |
$1.61M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,106 |
1,088 |
$182K |
| 59025 |
Fetal non-stress test |
141 |
114 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
86 |
$62K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
839 |
810 |
$55K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
839 |
810 |
$55K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
225 |
208 |
$46K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
349 |
337 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,070 |
5,459 |
$29K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
508 |
484 |
$26K |
| 87428 |
|
1,914 |
1,874 |
$24K |
| 87653 |
|
349 |
337 |
$22K |
| 86780 |
|
578 |
554 |
$17K |
| 80053 |
Comprehensive metabolic panel |
4,117 |
3,732 |
$16K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
506 |
498 |
$15K |
| 80081 |
|
113 |
110 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
993 |
881 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
973 |
962 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
778 |
729 |
$9K |
| 86803 |
|
303 |
283 |
$9K |
| 86850 |
|
344 |
324 |
$7K |
| 86762 |
|
207 |
196 |
$6K |
| 81001 |
|
2,874 |
2,678 |
$5K |
| 87340 |
|
224 |
211 |
$5K |
| 82950 |
|
480 |
464 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
380 |
353 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
541 |
505 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
36 |
$4K |
| 81025 |
|
1,021 |
964 |
$4K |
| 86900 |
|
384 |
362 |
$2K |
| 86901 |
|
384 |
362 |
$2K |
| 86592 |
|
302 |
296 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
104 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
25 |
24 |
$803.47 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
134 |
111 |
$707.04 |
| 84702 |
|
54 |
42 |
$644.64 |
| 84484 |
|
699 |
471 |
$591.41 |
| 83690 |
|
304 |
287 |
$529.30 |
| 93976 |
|
13 |
12 |
$501.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
252 |
220 |
$414.99 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
192 |
166 |
$336.62 |
| 87081 |
|
12 |
12 |
$179.08 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
13 |
$171.26 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
29 |
$143.58 |
| 81003 |
|
161 |
150 |
$107.84 |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
25 |
$106.88 |
| 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 |
13 |
12 |
$75.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$49.27 |
| 36415 |
Collection of venous blood by venipuncture |
2,272 |
1,999 |
$40.19 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
25 |
$29.22 |
| 82947 |
|
18 |
12 |
$27.51 |
| 85610 |
|
15 |
14 |
$18.13 |
| 80061 |
Lipid panel |
12 |
12 |
$12.46 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
42 |
37 |
$0.00 |
| 82962 |
|
80 |
25 |
$0.00 |