| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,155 |
6,535 |
$719K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,798 |
2,475 |
$376K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,962 |
1,264 |
$198K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,133 |
1,305 |
$140K |
| A0425 |
Ground mileage, per statute mile |
5,083 |
2,954 |
$128K |
| 87631 |
|
702 |
685 |
$85K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,939 |
1,887 |
$70K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
227 |
181 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,138 |
866 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
582 |
490 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
409 |
397 |
$28K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
324 |
284 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,125 |
928 |
$18K |
| 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 |
178 |
175 |
$15K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
363 |
309 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
44 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
234 |
194 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
177 |
159 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
864 |
617 |
$5K |
| 80053 |
Comprehensive metabolic panel |
3,203 |
2,774 |
$5K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
88 |
26 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
418 |
382 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,128 |
3,563 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
53 |
24 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
32 |
28 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
121 |
118 |
$1K |
| 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 |
35 |
34 |
$800.00 |
| 82728 |
|
73 |
69 |
$467.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
33 |
28 |
$465.08 |
| 36415 |
Collection of venous blood by venipuncture |
543 |
462 |
$438.23 |
| 73630 |
|
17 |
15 |
$422.89 |
| 81001 |
|
1,101 |
959 |
$335.29 |
| 83550 |
|
73 |
69 |
$300.16 |
| 80061 |
Lipid panel |
40 |
39 |
$268.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$241.28 |
| 83540 |
|
73 |
69 |
$222.60 |
| 84481 |
|
12 |
12 |
$166.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$148.96 |
| 82607 |
|
14 |
14 |
$112.16 |
| 84439 |
|
25 |
25 |
$110.60 |
| 82043 |
|
43 |
40 |
$106.50 |
| 84550 |
|
13 |
13 |
$38.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
54 |
29 |
$18.86 |
| 86140 |
|
24 |
24 |
$6.35 |
| 83690 |
|
113 |
102 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
100 |
86 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
20 |
14 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
40 |
37 |
$0.00 |
| 83605 |
|
40 |
24 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
107 |
81 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
105 |
75 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
33 |
24 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
28 |
28 |
$0.00 |
| 81025 |
|
26 |
26 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
21 |
14 |
$0.00 |