| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,314 |
9,020 |
$2.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,523 |
8,215 |
$1.79M |
| G0378 |
Hospital observation service, per hour |
179 |
172 |
$238K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
348 |
343 |
$71K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
386 |
364 |
$64K |
| 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 |
502 |
464 |
$45K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
100 |
94 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
123 |
118 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
165 |
159 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
113 |
113 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,950 |
4,588 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
476 |
460 |
$8K |
| 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 |
321 |
292 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,350 |
1,257 |
$7K |
| 76830 |
Ultrasound, transvaginal |
71 |
68 |
$6K |
| 76801 |
|
55 |
53 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
123 |
118 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
801 |
749 |
$5K |
| 64483 |
|
18 |
18 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
354 |
340 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
202 |
198 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,490 |
1,402 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
226 |
215 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
5,285 |
4,677 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
749 |
685 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
53 |
25 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
737 |
637 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
30 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
232 |
208 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
206 |
202 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,034 |
1,003 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| 84703 |
|
374 |
352 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
41 |
40 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 85027 |
|
147 |
136 |
$1K |
| 73564 |
|
26 |
26 |
$1K |
| 86900 |
|
126 |
120 |
$797.12 |
| 76642 |
|
13 |
13 |
$752.07 |
| 71045 |
Radiologic examination, chest; single view |
328 |
307 |
$602.69 |
| 84484 |
|
508 |
397 |
$596.80 |
| 81001 |
|
414 |
387 |
$485.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
27 |
$374.14 |
| 82248 |
|
63 |
56 |
$366.75 |
| 83690 |
|
208 |
192 |
$325.33 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
26 |
$268.94 |
| 85610 |
|
128 |
124 |
$246.65 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
124 |
117 |
$240.38 |
| 85730 |
|
57 |
55 |
$222.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
656 |
605 |
$76.31 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,377 |
1,173 |
$36.91 |
| 81003 |
|
38 |
37 |
$31.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
863 |
760 |
$26.19 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
235 |
221 |
$4.30 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
50 |
49 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
29 |
27 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
28 |
20 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
301 |
235 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
171 |
160 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
279 |
271 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
418 |
291 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
63 |
54 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
275 |
240 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
25 |
$0.00 |