| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,230 |
2,089 |
$367K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,919 |
2,786 |
$167K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
632 |
583 |
$151K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,044 |
1,010 |
$86K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
855 |
822 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,325 |
2,019 |
$24K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
977 |
876 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,008 |
926 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,960 |
2,436 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
77 |
73 |
$18K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,358 |
1,313 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
355 |
339 |
$10K |
| 84484 |
|
868 |
679 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
77 |
75 |
$4K |
| 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 |
60 |
58 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
561 |
503 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
52 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
400 |
348 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
42 |
12 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
609 |
490 |
$2K |
| 87634 |
|
44 |
42 |
$2K |
| 81025 |
|
316 |
301 |
$2K |
| 81001 |
|
951 |
872 |
$2K |
| 83880 |
|
106 |
102 |
$2K |
| 83690 |
|
492 |
458 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
242 |
154 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
28 |
26 |
$1K |
| 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 |
59 |
57 |
$967.68 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$827.09 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
14 |
$696.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
562 |
481 |
$463.63 |
| 84703 |
|
64 |
57 |
$449.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
86 |
65 |
$415.30 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
249 |
172 |
$348.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
41 |
$318.11 |
| 83605 |
|
58 |
38 |
$270.83 |
| 81003 |
|
155 |
145 |
$248.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
145 |
134 |
$189.75 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
51 |
48 |
$182.84 |
| 84702 |
|
15 |
13 |
$113.76 |
| 83735 |
|
26 |
25 |
$85.90 |
| 36415 |
Collection of venous blood by venipuncture |
1,338 |
1,164 |
$82.48 |
| 85379 |
|
13 |
13 |
$54.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24 |
24 |
$46.70 |
| 85610 |
|
16 |
14 |
$18.67 |
| 86901 |
|
14 |
13 |
$15.06 |
| A9270 |
Non-covered item or service |
341 |
291 |
$0.00 |