| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,738 |
11,239 |
$2.10M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,002 |
1,312 |
$811K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,946 |
5,178 |
$769K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,500 |
4,229 |
$675K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,863 |
1,666 |
$558K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,673 |
2,647 |
$364K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,538 |
1,016 |
$331K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,198 |
826 |
$281K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
710 |
523 |
$189K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,365 |
1,495 |
$124K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,967 |
1,860 |
$121K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
709 |
590 |
$107K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,791 |
971 |
$93K |
| 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 |
945 |
722 |
$68K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,849 |
991 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,441 |
1,191 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
2,376 |
1,797 |
$47K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,927 |
1,021 |
$47K |
| 80053 |
Comprehensive metabolic panel |
7,530 |
4,887 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
145 |
101 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,460 |
5,332 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
406 |
340 |
$26K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,595 |
1,768 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
922 |
704 |
$19K |
| 84484 |
|
3,727 |
2,060 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
381 |
341 |
$12K |
| 84145 |
|
1,343 |
823 |
$11K |
| 86140 |
|
3,946 |
2,630 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,588 |
1,000 |
$9K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
185 |
53 |
$8K |
| 83605 |
|
2,045 |
1,251 |
$8K |
| 81001 |
|
3,617 |
2,486 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,365 |
830 |
$6K |
| 83735 |
|
2,524 |
1,492 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,489 |
2,384 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,815 |
1,295 |
$6K |
| 83880 |
|
549 |
301 |
$5K |
| 83690 |
|
1,451 |
1,033 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,087 |
1,430 |
$5K |
| 85379 |
|
1,101 |
761 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
13 |
$4K |
| 85027 |
|
1,052 |
697 |
$4K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
211 |
146 |
$4K |
| 96367 |
|
23 |
14 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,902 |
4,888 |
$3K |
| 81003 |
|
1,326 |
997 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
13 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$2K |
| 87632 |
|
19 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
450 |
307 |
$2K |
| 85610 |
|
727 |
413 |
$2K |
| 86618 |
|
101 |
88 |
$903.85 |
| 72100 |
|
22 |
12 |
$895.58 |
| 73030 |
|
16 |
12 |
$798.77 |
| 81025 |
|
116 |
95 |
$745.80 |
| 80306 |
|
49 |
42 |
$735.08 |
| 36000 |
|
18 |
13 |
$671.95 |
| 73630 |
|
20 |
16 |
$515.57 |
| 87077 |
|
204 |
111 |
$487.00 |
| 96376 |
|
133 |
88 |
$464.27 |
| 82803 |
|
43 |
25 |
$459.33 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
7,256 |
2,750 |
$414.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
28 |
$370.29 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
42 |
14 |
$362.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23 |
16 |
$331.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,056 |
1,452 |
$265.06 |
| 97035 |
|
26 |
12 |
$251.33 |
| 87040 |
|
117 |
41 |
$247.83 |
| 87186 |
|
94 |
53 |
$243.54 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,651 |
1,483 |
$232.11 |
| 90686 |
|
22 |
14 |
$204.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$188.10 |
| 82150 |
|
64 |
53 |
$174.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$140.85 |
| 85730 |
|
93 |
55 |
$136.62 |
| 82962 |
|
162 |
40 |
$122.44 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
728 |
443 |
$66.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
255 |
120 |
$49.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,202 |
881 |
$40.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,343 |
923 |
$24.10 |
| 36592 |
|
79 |
59 |
$19.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
106 |
67 |
$14.50 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
487 |
242 |
$5.28 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
122 |
87 |
$1.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
78 |
49 |
$0.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
278 |
166 |
$0.61 |
| J2704 |
Injection, propofol, 10 mg |
135 |
92 |
$0.54 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
52 |
37 |
$0.39 |
| A9270 |
Non-covered item or service |
3,182 |
442 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
30 |
13 |
$0.00 |
| 80320 |
|
23 |
16 |
$0.00 |