| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,563 |
3,377 |
$860K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,620 |
4,689 |
$832K |
| A0425 |
Ground mileage, per statute mile |
763 |
636 |
$107K |
| 80053 |
Comprehensive metabolic panel |
1,162 |
1,060 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,536 |
1,415 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
209 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
954 |
826 |
$10K |
| 87400 |
|
304 |
137 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
197 |
185 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
84 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
13 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
60 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
55 |
53 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
40 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
125 |
$3K |
| 83690 |
|
139 |
124 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
13 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
272 |
252 |
$2K |
| 87081 |
|
55 |
53 |
$1K |
| 83605 |
|
43 |
38 |
$1K |
| 83735 |
|
40 |
36 |
$1K |
| 81001 |
|
89 |
80 |
$835.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
24 |
$761.02 |
| 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 |
14 |
14 |
$706.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
57 |
$679.11 |
| 87420 |
|
15 |
15 |
$244.70 |
| 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 |
14 |
14 |
$120.51 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |