| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,170 |
7,124 |
$523K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,265 |
5,169 |
$362K |
| 36415 |
Collection of venous blood by venipuncture |
9,211 |
5,904 |
$304K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,482 |
1,186 |
$170K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,815 |
2,945 |
$148K |
| 70450 |
Computed tomography, head or brain; without contrast material |
935 |
749 |
$95K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,103 |
1,626 |
$69K |
| 80053 |
Comprehensive metabolic panel |
7,716 |
5,682 |
$59K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
599 |
529 |
$33K |
| 81025 |
|
1,637 |
1,419 |
$32K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
967 |
616 |
$25K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
895 |
726 |
$22K |
| 87081 |
|
1,078 |
991 |
$21K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
340 |
286 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,656 |
2,840 |
$17K |
| 82947 |
|
599 |
286 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
187 |
166 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,112 |
1,735 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,000 |
1,548 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,560 |
1,803 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,114 |
6,502 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
743 |
249 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
328 |
86 |
$10K |
| 81003 |
|
2,205 |
1,807 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,007 |
2,899 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,509 |
1,113 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,594 |
2,810 |
$9K |
| J2704 |
Injection, propofol, 10 mg |
2,270 |
1,570 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
101 |
79 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
378 |
316 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
397 |
328 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
26 |
$6K |
| G0378 |
Hospital observation service, per hour |
657 |
323 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
102 |
51 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
597 |
556 |
$6K |
| 85610 |
|
2,681 |
1,988 |
$5K |
| 81001 |
|
2,595 |
2,059 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,129 |
1,612 |
$4K |
| 84484 |
|
3,488 |
2,007 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
243 |
185 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,391 |
2,402 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,024 |
916 |
$3K |
| 85730 |
|
1,615 |
1,211 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,622 |
2,653 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,302 |
839 |
$3K |
| 83735 |
|
2,244 |
1,550 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,660 |
1,542 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
688 |
566 |
$2K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
16 |
16 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
151 |
108 |
$890.67 |
| 87040 |
|
87 |
51 |
$882.51 |
| 80305 |
|
341 |
274 |
$869.92 |
| 87807 |
|
148 |
138 |
$825.83 |
| 83690 |
|
1,472 |
1,153 |
$824.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
36 |
$809.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,021 |
818 |
$803.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,870 |
1,393 |
$725.96 |
| 87186 |
|
470 |
348 |
$712.05 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
296 |
203 |
$662.59 |
| 00731 |
|
80 |
65 |
$614.36 |
| 87070 |
|
22 |
14 |
$551.86 |
| 85027 |
|
204 |
146 |
$494.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,284 |
779 |
$396.49 |
| J1644 |
Injection, heparin sodium, per 1000 units |
336 |
138 |
$358.04 |
| 84703 |
|
388 |
350 |
$355.62 |
| 80061 |
Lipid panel |
405 |
329 |
$331.58 |
| 86140 |
|
807 |
661 |
$330.84 |
| 97163 |
|
20 |
12 |
$322.81 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
899 |
613 |
$255.95 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
515 |
369 |
$254.31 |
| 83880 |
|
617 |
461 |
$233.71 |
| 84443 |
Thyroid stimulating hormone (TSH) |
234 |
191 |
$221.23 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
103 |
68 |
$142.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
318 |
242 |
$133.51 |
| 87205 |
|
22 |
14 |
$127.58 |
| 82962 |
|
356 |
167 |
$50.87 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
115 |
89 |
$44.82 |
| G0237 |
Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
53 |
42 |
$44.30 |
| 84439 |
|
14 |
12 |
$42.67 |
| 85651 |
|
33 |
29 |
$21.08 |
| 83605 |
|
266 |
198 |
$16.50 |
| 87400 |
|
13 |
12 |
$15.30 |
| 85379 |
|
328 |
266 |
$15.04 |
| 82607 |
|
21 |
16 |
$13.20 |
| 82746 |
|
16 |
13 |
$7.47 |
| 82150 |
|
143 |
123 |
$2.95 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
156 |
126 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
376 |
220 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
27 |
24 |
$0.00 |
| 87088 |
|
34 |
25 |
$0.00 |
| 82550 |
|
32 |
27 |
$0.00 |
| 83615 |
|
13 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
16 |
13 |
$0.00 |
| 82553 |
|
15 |
13 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
62 |
50 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
15 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
26 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
46 |
36 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
121 |
91 |
$0.00 |
| 84145 |
|
49 |
41 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |
| 80076 |
|
118 |
91 |
$0.00 |
| 84600 |
|
15 |
12 |
$0.00 |
| 84702 |
|
13 |
12 |
$0.00 |