| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,548 |
1,037 |
$560K |
| G0378 |
Hospital observation service, per hour |
1,954 |
1,213 |
$512K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,859 |
1,450 |
$484K |
| 80053 |
Comprehensive metabolic panel |
13,285 |
7,301 |
$440K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,257 |
1,015 |
$436K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,461 |
1,935 |
$385K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
364 |
288 |
$260K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,837 |
6,755 |
$195K |
| 80061 |
Lipid panel |
3,072 |
2,310 |
$136K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,354 |
1,684 |
$131K |
| 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 |
2,024 |
1,617 |
$129K |
| 71046 |
Radiologic examination, chest; 2 views |
2,300 |
1,727 |
$128K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,408 |
2,985 |
$115K |
| 36415 |
Collection of venous blood by venipuncture |
13,870 |
6,578 |
$75K |
| 74022 |
|
747 |
513 |
$71K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
788 |
635 |
$52K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
635 |
564 |
$50K |
| 84439 |
|
2,146 |
1,886 |
$49K |
| 84484 |
|
871 |
506 |
$42K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,735 |
1,529 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,405 |
912 |
$35K |
| 85730 |
|
1,424 |
1,001 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,107 |
964 |
$27K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,470 |
1,883 |
$27K |
| 96376 |
|
343 |
105 |
$27K |
| 82607 |
|
990 |
860 |
$25K |
| S1015 |
Iv tubing extension set |
170 |
138 |
$24K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
448 |
104 |
$22K |
| J2704 |
Injection, propofol, 10 mg |
1,332 |
1,080 |
$21K |
| 83690 |
|
1,459 |
932 |
$21K |
| 87081 |
|
1,298 |
944 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
899 |
723 |
$20K |
| 82150 |
|
1,390 |
879 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
324 |
172 |
$19K |
| 81003 |
|
1,880 |
1,474 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
136 |
$17K |
| 82553 |
|
412 |
241 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
379 |
$15K |
| 85610 |
|
1,576 |
1,094 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
449 |
165 |
$14K |
| 82746 |
|
643 |
574 |
$13K |
| 81001 |
|
995 |
730 |
$13K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,330 |
776 |
$12K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,211 |
793 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
145 |
123 |
$11K |
| 43248 |
|
22 |
12 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
146 |
111 |
$10K |
| 80306 |
|
149 |
121 |
$10K |
| 94664 |
|
228 |
185 |
$9K |
| 81025 |
|
530 |
449 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
288 |
96 |
$9K |
| 94760 |
|
660 |
233 |
$9K |
| 83880 |
|
119 |
86 |
$8K |
| 85379 |
|
126 |
98 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
59 |
51 |
$6K |
| 82550 |
|
443 |
262 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,169 |
837 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
163 |
38 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
123 |
$5K |
| A9270 |
Non-covered item or service |
2,336 |
458 |
$5K |
| 96367 |
|
133 |
60 |
$4K |
| C9113 |
Injection, pantoprazole sodium, per vial |
74 |
12 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
12 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,474 |
785 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
152 |
100 |
$4K |
| 43249 |
|
21 |
17 |
$3K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
572 |
148 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
74 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
59 |
43 |
$2K |
| 83605 |
|
48 |
41 |
$2K |
| J3490 |
Unclassified drugs |
639 |
265 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,041 |
863 |
$1K |
| 85027 |
|
68 |
60 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
30 |
26 |
$977.20 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
710 |
338 |
$785.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
467 |
292 |
$695.50 |
| 99051 |
|
132 |
119 |
$673.69 |
| 83735 |
|
27 |
25 |
$529.46 |
| 82728 |
|
29 |
24 |
$499.99 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
340 |
260 |
$493.26 |
| 83550 |
|
26 |
25 |
$426.75 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
52 |
24 |
$391.90 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
13 |
$374.51 |
| 87186 |
|
30 |
25 |
$300.65 |
| 83540 |
|
26 |
25 |
$189.63 |
| 81015 |
|
32 |
27 |
$159.02 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
146 |
74 |
$114.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
14 |
$14.16 |