| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,909 |
5,350 |
$1.27M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,434 |
8,397 |
$1.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,548 |
2,394 |
$999K |
| A0425 |
Ground mileage, per statute mile |
3,265 |
2,570 |
$488K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,902 |
1,583 |
$436K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,015 |
2,734 |
$236K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,931 |
1,771 |
$229K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
723 |
622 |
$130K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,217 |
1,156 |
$118K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,106 |
784 |
$111K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,967 |
1,154 |
$91K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,950 |
1,683 |
$81K |
| 70450 |
Computed tomography, head or brain; without contrast material |
830 |
793 |
$79K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,887 |
1,129 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
1,492 |
1,388 |
$65K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,574 |
1,386 |
$58K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,561 |
1,522 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
1,269 |
1,195 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
249 |
242 |
$49K |
| 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 |
576 |
559 |
$32K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,231 |
3,058 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
419 |
418 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
204 |
199 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,632 |
1,374 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
10,131 |
8,813 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
177 |
168 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,107 |
1,093 |
$15K |
| 97161 |
|
216 |
215 |
$15K |
| 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 |
885 |
861 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,874 |
1,746 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,415 |
2,227 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
386 |
386 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
50 |
$6K |
| 80053 |
Comprehensive metabolic panel |
5,149 |
4,626 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
423 |
416 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
12 |
12 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,148 |
5,380 |
$4K |
| 87631 |
|
114 |
111 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
392 |
387 |
$2K |
| 73630 |
|
120 |
120 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
80 |
77 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
58 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,711 |
1,472 |
$1K |
| 97035 |
|
188 |
63 |
$1K |
| 73610 |
|
57 |
54 |
$979.29 |
| 73130 |
|
85 |
80 |
$909.75 |
| 73030 |
|
27 |
26 |
$803.54 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
1,048 |
900 |
$803.43 |
| 80061 |
Lipid panel |
76 |
76 |
$596.83 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,407 |
1,259 |
$547.78 |
| 84484 |
|
1,766 |
1,535 |
$373.31 |
| 0100U |
|
41 |
39 |
$316.00 |
| 80305 |
|
640 |
579 |
$312.01 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
18 |
12 |
$289.07 |
| 85610 |
|
1,462 |
1,328 |
$280.24 |
| 80306 |
|
610 |
556 |
$270.40 |
| 83735 |
|
1,817 |
1,623 |
$226.91 |
| 83690 |
|
899 |
839 |
$133.32 |
| 81001 |
|
1,356 |
1,293 |
$82.17 |
| 82550 |
|
717 |
617 |
$80.10 |
| 82553 |
|
538 |
464 |
$72.10 |
| 83605 |
|
924 |
830 |
$71.63 |
| 85027 |
|
124 |
103 |
$58.09 |
| 81003 |
|
2,147 |
2,030 |
$51.82 |
| 83880 |
|
197 |
185 |
$51.47 |
| 84100 |
|
1,130 |
1,041 |
$50.84 |
| 85730 |
|
1,317 |
1,228 |
$50.11 |
| 81025 |
|
1,643 |
1,533 |
$49.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
163 |
130 |
$49.08 |
| 82150 |
|
211 |
205 |
$45.71 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24 |
24 |
$41.93 |
| 82962 |
|
146 |
111 |
$2.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,841 |
1,719 |
$1.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,171 |
1,086 |
$0.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,141 |
1,090 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
507 |
490 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
28 |
25 |
$0.00 |
| 80179 |
|
151 |
126 |
$0.00 |
| 80143 |
|
153 |
128 |
$0.00 |
| 84145 |
|
44 |
41 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
242 |
237 |
$0.00 |
| 87040 |
|
44 |
39 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
42 |
$0.00 |
| 85008 |
|
16 |
13 |
$0.00 |
| 85379 |
|
26 |
24 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
13 |
$0.00 |