| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,669 |
5,315 |
$1.12M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,363 |
1,260 |
$689K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,737 |
1,608 |
$128K |
| 80053 |
Comprehensive metabolic panel |
2,237 |
1,869 |
$74K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
640 |
568 |
$65K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
1,249 |
1,190 |
$53K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,820 |
2,301 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
1,460 |
1,341 |
$28K |
| 87430 |
|
688 |
663 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
532 |
495 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
264 |
252 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
223 |
208 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
729 |
641 |
$14K |
| 81001 |
|
1,197 |
1,089 |
$11K |
| 87081 |
|
416 |
394 |
$7K |
| 84703 |
|
1,079 |
981 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
38 |
$5K |
| 87807 |
|
81 |
80 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
105 |
91 |
$5K |
| 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 |
307 |
284 |
$4K |
| 83690 |
|
845 |
749 |
$4K |
| 84484 |
|
500 |
363 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
214 |
199 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
12 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
367 |
351 |
$1K |
| 84702 |
|
114 |
100 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$589.92 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
609 |
541 |
$542.21 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
700 |
570 |
$405.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
446 |
402 |
$375.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
526 |
456 |
$354.09 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
72 |
70 |
$329.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
148 |
114 |
$264.16 |
| 81003 |
|
140 |
134 |
$263.64 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
25 |
$212.74 |
| 83880 |
|
17 |
15 |
$98.94 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
51 |
$36.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
67 |
$36.61 |
| 86901 |
|
28 |
24 |
$35.64 |
| 86900 |
|
28 |
24 |
$35.64 |
| 83735 |
|
13 |
12 |
$16.99 |