| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,594 |
1,233 |
$241K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,286 |
2,666 |
$82K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
704 |
612 |
$75K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,432 |
1,374 |
$75K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,175 |
1,132 |
$74K |
| 80053 |
Comprehensive metabolic panel |
2,065 |
1,639 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,418 |
4,068 |
$57K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
263 |
197 |
$45K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,472 |
1,415 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
2,427 |
1,893 |
$35K |
| 87428 |
|
235 |
229 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
145 |
134 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
145 |
134 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
698 |
678 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
25 |
$9K |
| 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 |
126 |
108 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
45 |
26 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
103 |
78 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
490 |
463 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
26 |
$1K |
| 81003 |
|
218 |
188 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
25 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
104 |
99 |
$1K |
| 82550 |
|
32 |
25 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
44 |
$1K |
| 87420 |
|
16 |
16 |
$971.20 |
| 84484 |
|
24 |
13 |
$818.18 |
| J2704 |
Injection, propofol, 10 mg |
29 |
25 |
$806.70 |
| 82553 |
|
20 |
13 |
$787.92 |
| 87807 |
|
20 |
19 |
$577.39 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
12 |
$456.90 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
13 |
$377.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$352.01 |
| 81002 |
|
46 |
38 |
$342.25 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
13 |
$202.42 |
| A9270 |
Non-covered item or service |
93 |
26 |
$0.00 |