| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,529 |
3,282 |
$148K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,207 |
2,779 |
$109K |
| 80053 |
Comprehensive metabolic panel |
9,111 |
6,167 |
$60K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,341 |
7,482 |
$33K |
| 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 |
536 |
529 |
$31K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
45 |
44 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
397 |
365 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
631 |
530 |
$15K |
| 87081 |
|
1,889 |
1,858 |
$15K |
| 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 |
501 |
496 |
$10K |
| 87276 |
|
477 |
459 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
544 |
455 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
167 |
152 |
$6K |
| 87430 |
|
516 |
506 |
$6K |
| 81001 |
|
1,795 |
1,611 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
449 |
440 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
176 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
90 |
$3K |
| 87088 |
|
202 |
190 |
$2K |
| 76801 |
|
24 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
52 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
54 |
48 |
$2K |
| 83615 |
|
330 |
185 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
112 |
107 |
$1K |
| 83735 |
|
347 |
147 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
52 |
44 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$880.51 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
95 |
92 |
$836.66 |
| 82728 |
|
104 |
99 |
$834.01 |
| 86850 |
|
87 |
86 |
$743.41 |
| 71045 |
Radiologic examination, chest; single view |
104 |
89 |
$720.01 |
| 84439 |
|
71 |
69 |
$655.42 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
113 |
80 |
$610.07 |
| 82607 |
|
98 |
93 |
$586.29 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
45 |
39 |
$531.96 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$436.10 |
| 82746 |
|
68 |
64 |
$415.46 |
| 82378 |
|
46 |
43 |
$403.33 |
| 83550 |
|
91 |
86 |
$385.72 |
| 86901 |
|
54 |
53 |
$329.76 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12 |
12 |
$300.00 |
| 86900 |
|
54 |
53 |
$258.24 |
| 84484 |
|
56 |
39 |
$215.68 |
| 82950 |
|
25 |
25 |
$193.37 |
| 83540 |
|
91 |
86 |
$190.28 |
| 36415 |
Collection of venous blood by venipuncture |
5,843 |
3,846 |
$177.43 |
| 87340 |
|
14 |
14 |
$174.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$161.92 |
| 83605 |
|
45 |
37 |
$161.72 |
| 80305 |
|
15 |
14 |
$135.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
82 |
69 |
$132.70 |
| 86762 |
|
14 |
14 |
$107.91 |
| 80061 |
Lipid panel |
15 |
15 |
$94.48 |
| 86592 |
|
14 |
14 |
$75.57 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$62.98 |
| 86703 |
|
14 |
14 |
$52.32 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
217 |
182 |
$30.45 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
12 |
$20.82 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
211 |
$0.00 |