| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,596 |
6,255 |
$6.57M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,644 |
6,315 |
$792K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,865 |
1,699 |
$504K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,607 |
1,530 |
$159K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,191 |
1,914 |
$86K |
| 80053 |
Comprehensive metabolic panel |
10,297 |
8,381 |
$66K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
416 |
399 |
$56K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,169 |
2,099 |
$56K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,965 |
3,755 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,449 |
8,414 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
2,313 |
2,079 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
772 |
747 |
$29K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,433 |
737 |
$28K |
| 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 |
1,168 |
1,071 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
188 |
177 |
$15K |
| 83880 |
|
1,526 |
1,369 |
$12K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
900 |
817 |
$12K |
| 84703 |
|
1,685 |
1,561 |
$9K |
| 84484 |
|
3,217 |
1,773 |
$8K |
| G0378 |
Hospital observation service, per hour |
199 |
158 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
680 |
666 |
$6K |
| 81001 |
|
3,336 |
3,021 |
$6K |
| 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 |
1,092 |
1,002 |
$6K |
| 87088 |
|
1,401 |
1,288 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
190 |
179 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
250 |
$5K |
| 83605 |
|
1,422 |
915 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
106 |
102 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,229 |
1,153 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,867 |
1,804 |
$3K |
| 83690 |
|
1,351 |
1,176 |
$3K |
| 83735 |
|
1,699 |
1,164 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
636 |
593 |
$3K |
| 86850 |
|
709 |
647 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,008 |
761 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,466 |
1,178 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
31 |
29 |
$2K |
| 76801 |
|
26 |
24 |
$2K |
| 87400 |
|
102 |
99 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,615 |
1,327 |
$1K |
| 85610 |
|
1,655 |
1,424 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
979 |
948 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,105 |
981 |
$1K |
| 97161 |
|
105 |
96 |
$1K |
| 85730 |
|
1,080 |
1,002 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,050 |
826 |
$996.25 |
| 86901 |
|
1,121 |
952 |
$752.49 |
| 84100 |
|
775 |
530 |
$744.32 |
| 87077 |
|
230 |
187 |
$705.43 |
| 80061 |
Lipid panel |
425 |
412 |
$701.01 |
| 87040 |
|
274 |
141 |
$640.44 |
| CP008 |
|
14 |
12 |
$614.93 |
| 85027 |
|
309 |
254 |
$603.93 |
| CP007 |
|
16 |
13 |
$555.83 |
| 84702 |
|
60 |
50 |
$498.27 |
| 81003 |
|
179 |
172 |
$494.28 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
20 |
18 |
$481.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
279 |
246 |
$400.15 |
| 86900 |
|
914 |
765 |
$376.16 |
| 87186 |
|
177 |
142 |
$375.40 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
24 |
$308.16 |
| 82550 |
|
168 |
151 |
$299.52 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
41 |
24 |
$296.73 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
685 |
521 |
$287.44 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
18 |
13 |
$275.16 |
| 87070 |
|
56 |
51 |
$261.79 |
| 86769 |
|
31 |
27 |
$258.68 |
| 86413 |
|
26 |
26 |
$257.36 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
75 |
25 |
$254.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
117 |
101 |
$240.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
85 |
50 |
$187.14 |
| 84439 |
|
68 |
65 |
$163.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
43 |
$140.91 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
225 |
216 |
$90.40 |
| 85007 |
|
65 |
53 |
$67.12 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
198 |
71 |
$52.30 |
| 85379 |
|
12 |
12 |
$49.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
61 |
$46.01 |
| 82150 |
|
18 |
13 |
$28.28 |
| 83615 |
|
14 |
13 |
$23.11 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
59 |
51 |
$15.51 |
| 36415 |
Collection of venous blood by venipuncture |
2,534 |
2,071 |
$7.42 |
| J2704 |
Injection, propofol, 10 mg |
599 |
547 |
$6.66 |
| J3490 |
Unclassified drugs |
12 |
12 |
$6.28 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
13 |
13 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$0.00 |
| 85014 |
|
14 |
12 |
$0.00 |
| C1769 |
Guide wire |
40 |
38 |
$0.00 |
| 96376 |
|
36 |
14 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
24 |
12 |
$0.00 |