| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,983 |
5,434 |
$1.31M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,685 |
4,328 |
$1.08M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
940 |
882 |
$268K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
853 |
723 |
$187K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
532 |
504 |
$164K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
869 |
815 |
$163K |
| 70450 |
Computed tomography, head or brain; without contrast material |
626 |
586 |
$158K |
| 80053 |
Comprehensive metabolic panel |
7,133 |
6,207 |
$128K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,283 |
628 |
$114K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,858 |
557 |
$101K |
| 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 |
1,401 |
1,344 |
$97K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
485 |
400 |
$88K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,038 |
1,802 |
$45K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,413 |
394 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
120 |
113 |
$34K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,385 |
1,130 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
1,224 |
1,102 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
7,368 |
6,157 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,260 |
1,175 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
985 |
797 |
$22K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
80 |
77 |
$20K |
| 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 |
934 |
895 |
$19K |
| OP250 |
|
2,268 |
1,100 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,434 |
1,337 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,958 |
5,141 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
181 |
178 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
690 |
634 |
$10K |
| 97010 |
|
664 |
207 |
$10K |
| 86900 |
|
290 |
271 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
302 |
291 |
$7K |
| 86850 |
|
277 |
260 |
$7K |
| 86901 |
|
303 |
283 |
$6K |
| 81025 |
|
1,622 |
1,538 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
539 |
524 |
$5K |
| 80061 |
Lipid panel |
572 |
566 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
19 |
19 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
348 |
346 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
781 |
469 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
44 |
38 |
$2K |
| 84484 |
|
1,083 |
910 |
$2K |
| 83735 |
|
1,187 |
958 |
$2K |
| 0012A |
|
61 |
61 |
$2K |
| 83690 |
|
1,313 |
1,165 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
236 |
215 |
$1K |
| 85730 |
|
797 |
737 |
$1K |
| 0011A |
|
47 |
47 |
$1K |
| 85610 |
|
1,095 |
1,004 |
$1K |
| 97161 |
|
14 |
14 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
43 |
42 |
$1K |
| 81001 |
|
1,144 |
1,045 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,247 |
1,037 |
$1K |
| 96376 |
|
16 |
14 |
$796.90 |
| 81003 |
|
1,128 |
1,054 |
$634.55 |
| 85027 |
|
134 |
128 |
$467.27 |
| 87634 |
|
43 |
42 |
$454.06 |
| 87070 |
|
223 |
218 |
$390.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
352 |
282 |
$371.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$354.81 |
| 84703 |
|
266 |
245 |
$349.73 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
138 |
129 |
$321.20 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
78 |
71 |
$185.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
100 |
$174.11 |
| 83605 |
|
91 |
80 |
$171.49 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
100 |
81 |
$170.28 |
| 82550 |
|
54 |
53 |
$165.85 |
| 82077 |
|
30 |
27 |
$150.23 |
| 85379 |
|
57 |
50 |
$120.87 |
| 87040 |
|
46 |
43 |
$116.10 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
35 |
26 |
$97.06 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
29 |
28 |
$23.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
37 |
$20.82 |
| 81015 |
|
221 |
199 |
$11.51 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
35 |
29 |
$10.10 |
| J2704 |
Injection, propofol, 10 mg |
29 |
27 |
$8.20 |
| J3490 |
Unclassified drugs |
18 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| 99080 |
|
106 |
15 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
41 |
40 |
$0.00 |