| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,526 |
1,232 |
$290K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,371 |
1,116 |
$230K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,175 |
921 |
$179K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,791 |
1,425 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,582 |
2,263 |
$61K |
| 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 |
672 |
623 |
$56K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
542 |
377 |
$45K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,509 |
1,291 |
$43K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,639 |
647 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,048 |
2,954 |
$22K |
| 80053 |
Comprehensive metabolic panel |
2,704 |
2,068 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,398 |
1,744 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
499 |
386 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,208 |
1,062 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,086 |
824 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
370 |
316 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
910 |
779 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
23 |
13 |
$7K |
| 85610 |
|
929 |
398 |
$6K |
| 81003 |
|
1,133 |
931 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
22 |
15 |
$6K |
| 80061 |
Lipid panel |
473 |
393 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
418 |
319 |
$5K |
| 85027 |
|
896 |
726 |
$4K |
| 87631 |
|
35 |
26 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
169 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
7,057 |
5,324 |
$3K |
| 81025 |
|
338 |
275 |
$3K |
| 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 |
142 |
126 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
900 |
553 |
$2K |
| 81001 |
|
567 |
455 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
316 |
260 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
98 |
52 |
$2K |
| 82728 |
|
145 |
120 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
83 |
40 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
58 |
30 |
$944.21 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
386 |
293 |
$896.24 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
43 |
34 |
$822.67 |
| J3490 |
Unclassified drugs |
1,634 |
397 |
$775.72 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
606 |
383 |
$656.19 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$643.59 |
| 90686 |
|
81 |
78 |
$622.18 |
| 86140 |
|
169 |
126 |
$554.10 |
| 83735 |
|
146 |
111 |
$500.69 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
93 |
26 |
$406.79 |
| 85018 |
|
173 |
138 |
$393.27 |
| 36416 |
|
717 |
318 |
$320.19 |
| 80306 |
|
18 |
14 |
$243.70 |
| 87634 |
|
29 |
27 |
$211.46 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
27 |
$202.93 |
| 87210 |
|
36 |
26 |
$154.60 |
| 83690 |
|
35 |
24 |
$114.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$108.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
281 |
150 |
$98.09 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
171 |
103 |
$91.65 |
| J2704 |
Injection, propofol, 10 mg |
658 |
268 |
$76.00 |
| 87081 |
|
13 |
12 |
$68.84 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
472 |
260 |
$12.28 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
340 |
203 |
$7.83 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
38 |
13 |
$2.00 |
| 0353U |
|
13 |
12 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
198 |
132 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
39 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
48 |
39 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
38 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
20 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
25 |
$0.00 |