| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,784 |
16,421 |
$5.43M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,134 |
16,841 |
$4.06M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,701 |
14,210 |
$2.27M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,430 |
6,308 |
$827K |
| D9999 |
Unspecified adjunctive procedure, by report |
495 |
494 |
$501K |
| 80053 |
Comprehensive metabolic panel |
18,054 |
16,786 |
$167K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,312 |
19,368 |
$143K |
| 36415 |
Collection of venous blood by venipuncture |
23,773 |
21,303 |
$137K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,674 |
2,534 |
$108K |
| 71045 |
Radiologic examination, chest; single view |
6,818 |
6,632 |
$86K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
835 |
835 |
$72K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,848 |
9,369 |
$61K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,943 |
1,621 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
310 |
308 |
$52K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
186 |
115 |
$42K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
296 |
168 |
$41K |
| 84484 |
|
2,950 |
2,255 |
$37K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
206 |
188 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
76 |
76 |
$27K |
| 95811 |
|
82 |
82 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
425 |
420 |
$22K |
| 81002 |
|
6,139 |
5,152 |
$20K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
435 |
419 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
152 |
140 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
520 |
411 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
208 |
205 |
$10K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
39 |
39 |
$10K |
| 83880 |
|
307 |
300 |
$10K |
| 81001 |
|
3,180 |
3,133 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
139 |
139 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,203 |
1,187 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
149 |
133 |
$8K |
| 81025 |
|
1,088 |
1,069 |
$8K |
| 83690 |
|
1,232 |
1,208 |
$7K |
| 43235 |
|
12 |
12 |
$6K |
| 76801 |
|
79 |
79 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
95 |
94 |
$5K |
| 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 |
52 |
52 |
$5K |
| 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 |
36 |
36 |
$4K |
| 83735 |
|
376 |
350 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
283 |
232 |
$2K |
| 86850 |
|
265 |
255 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
52 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
52 |
$2K |
| 84702 |
|
118 |
118 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17 |
17 |
$867.81 |
| 83605 |
|
65 |
62 |
$812.91 |
| 86900 |
|
292 |
280 |
$795.69 |
| 86901 |
|
278 |
267 |
$752.42 |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
35 |
$549.00 |
| 87210 |
|
93 |
92 |
$434.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$411.60 |
| 82962 |
|
136 |
59 |
$396.96 |
| 82803 |
|
12 |
12 |
$324.66 |
| 87040 |
|
17 |
15 |
$293.76 |
| 97597 |
|
33 |
12 |
$291.70 |
| 81003 |
|
136 |
132 |
$254.14 |
| 82553 |
|
14 |
12 |
$211.14 |
| 87807 |
|
16 |
16 |
$186.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
151 |
151 |
$140.70 |
| 82550 |
|
14 |
12 |
$118.98 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,343 |
1,306 |
$89.10 |
| 87081 |
|
13 |
13 |
$72.70 |
| 84550 |
|
12 |
12 |
$55.08 |
| 82247 |
|
12 |
12 |
$53.64 |
| J7050 |
Infusion, normal saline solution, 250 cc |
526 |
468 |
$53.08 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
687 |
676 |
$1.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
287 |
287 |
$0.27 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,056 |
937 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
596 |
596 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
94 |
92 |
$0.00 |
| 96376 |
|
21 |
14 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |