| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,078 |
8,284 |
$1.12M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,564 |
3,148 |
$487K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,024 |
714 |
$378K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,249 |
2,000 |
$257K |
| 0240U |
|
926 |
787 |
$139K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
900 |
726 |
$120K |
| 70450 |
Computed tomography, head or brain; without contrast material |
434 |
360 |
$101K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,308 |
300 |
$100K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
435 |
350 |
$98K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
328 |
272 |
$86K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
543 |
338 |
$46K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
120 |
100 |
$35K |
| 80053 |
Comprehensive metabolic panel |
4,262 |
3,497 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
125 |
64 |
$20K |
| 73130 |
|
230 |
188 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
114 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,423 |
3,545 |
$10K |
| 73110 |
|
101 |
74 |
$9K |
| J3490 |
Unclassified drugs |
374 |
168 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
252 |
206 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,675 |
1,415 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
958 |
712 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
14 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
104 |
103 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
292 |
271 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,861 |
5,654 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
998 |
804 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
725 |
452 |
$3K |
| 84484 |
|
1,646 |
1,353 |
$3K |
| 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 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
12 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
379 |
324 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,126 |
954 |
$1K |
| 73630 |
|
103 |
80 |
$1K |
| 84703 |
|
747 |
599 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
165 |
124 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
330 |
258 |
$1K |
| 73030 |
|
31 |
25 |
$1K |
| 81001 |
|
2,780 |
2,432 |
$853.32 |
| 73610 |
|
28 |
26 |
$592.95 |
| 82248 |
|
2,866 |
2,473 |
$577.07 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$491.43 |
| 83880 |
|
307 |
248 |
$438.64 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
304 |
258 |
$388.17 |
| 87077 |
|
18 |
13 |
$309.94 |
| 80076 |
|
12 |
12 |
$252.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
994 |
665 |
$249.72 |
| 80061 |
Lipid panel |
78 |
69 |
$234.50 |
| 36591 |
|
29 |
14 |
$230.51 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
360 |
349 |
$222.92 |
| 83690 |
|
1,075 |
860 |
$131.84 |
| 84702 |
|
77 |
67 |
$129.35 |
| 85610 |
|
194 |
147 |
$126.27 |
| 97162 |
|
12 |
12 |
$124.51 |
| 82077 |
|
70 |
58 |
$103.77 |
| 83605 |
|
411 |
333 |
$63.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
12 |
$63.28 |
| 83735 |
|
74 |
46 |
$58.07 |
| 80051 |
|
48 |
47 |
$47.17 |
| 82565 |
|
60 |
59 |
$45.03 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,420 |
1,046 |
$43.53 |
| 85379 |
|
265 |
209 |
$34.70 |
| 82947 |
|
48 |
47 |
$25.60 |
| 81003 |
|
502 |
464 |
$21.33 |
| 87186 |
|
17 |
12 |
$13.80 |
| 84520 |
|
48 |
47 |
$13.32 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
88 |
49 |
$11.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
674 |
480 |
$11.63 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
237 |
172 |
$8.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
931 |
641 |
$6.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
326 |
233 |
$2.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$1.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
178 |
132 |
$0.62 |
| 82803 |
|
196 |
162 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
150 |
93 |
$0.00 |
| 87040 |
|
56 |
52 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
158 |
126 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
30 |
14 |
$0.00 |
| 87081 |
|
29 |
26 |
$0.00 |
| 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 |
13 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
781 |
642 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
55 |
30 |
$0.00 |
| 85014 |
|
219 |
177 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$0.00 |