| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,793 |
23,155 |
$3.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,287 |
17,971 |
$2.89M |
| G0378 |
Hospital observation service, per hour |
2,894 |
2,127 |
$640K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,327 |
2,860 |
$471K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,206 |
2,105 |
$157K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,762 |
3,472 |
$128K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,596 |
10,963 |
$125K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,812 |
3,503 |
$125K |
| 84484 |
|
9,795 |
7,436 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,743 |
13,647 |
$59K |
| 59025 |
Fetal non-stress test |
989 |
653 |
$52K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,972 |
11,796 |
$49K |
| 80053 |
Comprehensive metabolic panel |
17,786 |
15,482 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
808 |
706 |
$41K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,550 |
3,840 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,228 |
1,061 |
$26K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
71 |
66 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
4,453 |
3,969 |
$22K |
| 85027 |
|
7,405 |
6,279 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
928 |
778 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,567 |
3,182 |
$19K |
| 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 |
391 |
351 |
$15K |
| 83690 |
|
3,800 |
3,293 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
149 |
126 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,147 |
1,985 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,941 |
4,117 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
5,374 |
4,650 |
$9K |
| 81001 |
|
10,866 |
9,559 |
$8K |
| 87070 |
|
1,535 |
1,416 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
942 |
861 |
$6K |
| 81025 |
|
2,061 |
1,889 |
$5K |
| 83880 |
|
902 |
767 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
74 |
$4K |
| 76830 |
Ultrasound, transvaginal |
72 |
70 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,750 |
1,483 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
151 |
146 |
$3K |
| 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 |
155 |
148 |
$3K |
| 83735 |
|
1,343 |
1,067 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
36 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
41 |
$2K |
| 84112 |
|
53 |
44 |
$2K |
| 85610 |
|
1,591 |
1,346 |
$2K |
| 74018 |
|
142 |
111 |
$2K |
| 87634 |
|
60 |
60 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
84 |
$2K |
| 83605 |
|
396 |
321 |
$1K |
| 0011A |
|
44 |
41 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
380 |
320 |
$1K |
| 85730 |
|
477 |
414 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
19 |
18 |
$949.54 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$879.82 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
21 |
19 |
$859.43 |
| 0012A |
|
40 |
28 |
$796.50 |
| 76801 |
|
14 |
14 |
$773.52 |
| 87807 |
|
102 |
97 |
$540.72 |
| 85379 |
|
75 |
66 |
$519.00 |
| 81003 |
|
763 |
677 |
$442.37 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
115 |
102 |
$442.08 |
| 80076 |
|
159 |
139 |
$422.43 |
| 87040 |
|
158 |
94 |
$394.11 |
| 82150 |
|
93 |
84 |
$385.07 |
| 82550 |
|
163 |
139 |
$363.45 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,926 |
1,675 |
$360.77 |
| 84703 |
|
68 |
63 |
$355.70 |
| 86140 |
|
135 |
119 |
$341.36 |
| 82731 |
|
16 |
13 |
$324.75 |
| 84702 |
|
14 |
14 |
$137.45 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
33 |
$107.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
37 |
$106.28 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
72 |
$104.31 |
| 82570 |
|
12 |
12 |
$83.16 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
13 |
$79.89 |
| 84550 |
|
12 |
12 |
$69.83 |
| 80061 |
Lipid panel |
16 |
16 |
$66.43 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
244 |
203 |
$42.19 |
| 84156 |
|
12 |
12 |
$36.23 |
| 84100 |
|
18 |
13 |
$32.37 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
718 |
564 |
$21.63 |
| 91301 |
|
112 |
89 |
$0.26 |
| 1160F |
|
17 |
14 |
$0.00 |
| 1159F |
|
17 |
14 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,314 |
1,135 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,457 |
2,179 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
107 |
92 |
$0.00 |
| J3490 |
Unclassified drugs |
274 |
222 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
134 |
117 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
97 |
78 |
$0.00 |
| 3008F |
|
16 |
14 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
43 |
37 |
$0.00 |
| 1125F |
|
15 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
18 |
12 |
$0.00 |