| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,014 |
12,288 |
$858K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,254 |
5,804 |
$359K |
| 80053 |
Comprehensive metabolic panel |
6,035 |
5,410 |
$73K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,552 |
1,253 |
$68K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
474 |
216 |
$58K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
720 |
484 |
$35K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
219 |
209 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,195 |
5,546 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
1,905 |
1,735 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
95 |
54 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
284 |
267 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
356 |
$12K |
| 87800 |
|
171 |
164 |
$8K |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
172 |
163 |
$7K |
| G0378 |
Hospital observation service, per hour |
203 |
140 |
$7K |
| 59025 |
Fetal non-stress test |
69 |
51 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
108 |
31 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
143 |
125 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
296 |
285 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
79 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
132 |
121 |
$5K |
| 87634 |
|
44 |
39 |
$4K |
| 85027 |
|
401 |
350 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
505 |
385 |
$4K |
| 92567 |
|
120 |
116 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
563 |
450 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
171 |
153 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
134 |
$3K |
| 81001 |
|
773 |
705 |
$3K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
110 |
103 |
$3K |
| 80061 |
Lipid panel |
159 |
155 |
$2K |
| 84484 |
|
215 |
178 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
25 |
$2K |
| 92587 |
|
28 |
28 |
$2K |
| 84439 |
|
130 |
122 |
$1K |
| 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 |
21 |
17 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
53 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
88 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$985.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
62 |
$823.31 |
| 87430 |
|
30 |
28 |
$664.21 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
46 |
43 |
$573.09 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
13 |
$535.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
28 |
$516.69 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
74 |
63 |
$448.27 |
| 83735 |
|
75 |
65 |
$331.43 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
18 |
$327.72 |
| 85610 |
|
85 |
63 |
$327.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
130 |
118 |
$309.53 |
| 71046 |
Radiologic examination, chest; 2 views |
22 |
22 |
$282.84 |
| 81003 |
|
173 |
154 |
$273.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
22 |
$225.84 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
35 |
35 |
$186.04 |
| 83880 |
|
27 |
24 |
$182.15 |
| 87040 |
|
26 |
15 |
$165.16 |
| 83690 |
|
14 |
14 |
$141.58 |
| 82150 |
|
14 |
14 |
$133.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
62 |
53 |
$43.85 |
| 36415 |
Collection of venous blood by venipuncture |
2,570 |
2,243 |
$43.34 |
| 11721 |
|
13 |
13 |
$36.96 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
12 |
$8.28 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
13 |
$7.80 |
| 0502F |
|
1,329 |
1,061 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
28 |
21 |
$0.00 |
| 36000 |
|
13 |
13 |
$0.00 |