| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,946 |
1,594 |
$721K |
| A0425 |
Ground mileage, per statute mile |
2,233 |
1,732 |
$267K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
647 |
631 |
$118K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
283 |
271 |
$84K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,372 |
1,297 |
$73K |
| 80053 |
Comprehensive metabolic panel |
648 |
625 |
$67K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,989 |
1,857 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
4,285 |
3,580 |
$37K |
| 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 |
397 |
367 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
233 |
232 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
320 |
313 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
276 |
245 |
$15K |
| 11721 |
|
135 |
135 |
$11K |
| 86140 |
|
202 |
197 |
$6K |
| 83605 |
|
57 |
55 |
$5K |
| 87634 |
|
45 |
44 |
$4K |
| 81001 |
|
178 |
171 |
$3K |
| 87400 |
|
174 |
87 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
25 |
25 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
29 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
25 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
13 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$1K |
| 84145 |
|
12 |
12 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
22 |
13 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18 |
17 |
$762.98 |
| 84484 |
|
17 |
13 |
$568.17 |
| 83735 |
|
13 |
13 |
$360.89 |
| G0378 |
Hospital observation service, per hour |
13 |
12 |
$309.30 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$218.08 |
| 85027 |
|
13 |
13 |
$173.04 |
| 82565 |
|
47 |
46 |
$44.64 |
| A4649 |
Surgical supply; miscellaneous |
15 |
15 |
$32.41 |