| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
16,816 |
15,712 |
$4.54M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,963 |
19,696 |
$3.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,380 |
18,556 |
$2.45M |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33,740 |
31,055 |
$1.52M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34,522 |
31,768 |
$1.51M |
| 83735 |
|
32,398 |
29,890 |
$1.44M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,141 |
2,838 |
$827K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,447 |
6,907 |
$734K |
| 81001 |
|
8,389 |
7,839 |
$267K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,338 |
3,188 |
$262K |
| 71045 |
Radiologic examination, chest; single view |
4,794 |
4,373 |
$199K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,796 |
5,163 |
$171K |
| G0378 |
Hospital observation service, per hour |
374 |
306 |
$146K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,241 |
1,211 |
$104K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,060 |
1,876 |
$65K |
| 36415 |
Collection of venous blood by venipuncture |
3,236 |
2,761 |
$64K |
| 84702 |
|
3,370 |
3,102 |
$60K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
207 |
200 |
$51K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
800 |
599 |
$34K |
| Y7507 |
|
108 |
98 |
$23K |
| 83690 |
|
2,885 |
2,674 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
80 |
75 |
$18K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
323 |
228 |
$17K |
| 84484 |
|
2,583 |
1,920 |
$16K |
| 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 |
778 |
716 |
$16K |
| 84460 |
|
2,391 |
2,216 |
$13K |
| 84075 |
|
2,392 |
2,217 |
$13K |
| 84450 |
|
2,351 |
2,178 |
$13K |
| 82247 |
|
2,393 |
2,218 |
$13K |
| X4006 |
|
46 |
33 |
$13K |
| 82150 |
|
1,759 |
1,619 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
191 |
176 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
49 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
228 |
$9K |
| 85730 |
|
352 |
320 |
$8K |
| 85610 |
|
376 |
343 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
71 |
66 |
$7K |
| 81025 |
|
79 |
73 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
88 |
27 |
$6K |
| 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 |
691 |
635 |
$4K |
| 82077 |
|
393 |
362 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
91 |
27 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
24 |
$2K |
| 80306 |
|
187 |
173 |
$2K |
| 97597 |
|
16 |
13 |
$1K |
| 80076 |
|
234 |
217 |
$983.74 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$666.51 |
| 0002A |
|
16 |
16 |
$520.00 |
| 80143 |
|
26 |
25 |
$301.78 |
| 80179 |
|
13 |
13 |
$117.24 |
| 83605 |
|
14 |
14 |
$90.03 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
24 |
$88.96 |
| 82550 |
|
17 |
14 |
$49.74 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$0.00 |
| 0003A |
|
51 |
51 |
$0.00 |
| J3490 |
Unclassified drugs |
14 |
13 |
$0.00 |