| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,024 |
17,389 |
$2.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,836 |
6,356 |
$2.10M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
993 |
968 |
$1.27M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
537 |
495 |
$360K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,163 |
7,995 |
$213K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
247 |
244 |
$197K |
| 71045 |
Radiologic examination, chest; single view |
7,399 |
7,045 |
$170K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,648 |
2,559 |
$107K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,457 |
6,214 |
$103K |
| 67311 |
|
45 |
45 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,332 |
2,231 |
$63K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,392 |
2,233 |
$62K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$60K |
| 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 |
1,688 |
1,618 |
$54K |
| 80053 |
Comprehensive metabolic panel |
4,294 |
3,939 |
$45K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
231 |
224 |
$37K |
| 87070 |
|
3,981 |
3,835 |
$36K |
| 85027 |
|
6,713 |
6,016 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,277 |
1,162 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
10,080 |
9,231 |
$11K |
| 87807 |
|
703 |
671 |
$10K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,559 |
1,440 |
$8K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
755 |
652 |
$7K |
| 81025 |
|
891 |
850 |
$7K |
| 81001 |
|
2,762 |
2,588 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
114 |
105 |
$5K |
| 83690 |
|
1,358 |
1,258 |
$5K |
| 84484 |
|
618 |
486 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
25 |
$4K |
| 82248 |
|
776 |
715 |
$2K |
| 81003 |
|
512 |
484 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$2K |
| 84703 |
|
225 |
214 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
186 |
153 |
$872.80 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
245 |
222 |
$726.77 |
| 83880 |
|
215 |
188 |
$627.76 |
| 73610 |
|
12 |
12 |
$540.83 |
| 73630 |
|
12 |
12 |
$500.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
393 |
226 |
$436.58 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
14 |
$393.29 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
287 |
270 |
$204.54 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
37 |
$181.48 |
| 85610 |
|
135 |
110 |
$76.11 |
| 85730 |
|
80 |
66 |
$70.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
37 |
$68.40 |
| S5000 |
Prescription drug, generic |
163 |
163 |
$63.44 |
| 87040 |
|
15 |
12 |
$34.68 |
| 83605 |
|
14 |
12 |
$19.44 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
14 |
$10.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
15 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
41 |
41 |
$0.00 |
| A9270 |
Non-covered item or service |
22 |
12 |
$0.00 |
| 83735 |
|
18 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
42 |
$0.00 |