| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,416 |
6,599 |
$3.29M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,181 |
14,018 |
$2.03M |
| 80053 |
Comprehensive metabolic panel |
4,084 |
3,066 |
$143K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,826 |
3,063 |
$110K |
| 71045 |
Radiologic examination, chest; single view |
3,449 |
2,984 |
$36K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
216 |
211 |
$32K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,834 |
3,264 |
$29K |
| 85027 |
|
10,165 |
8,165 |
$23K |
| 87430 |
|
840 |
818 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,240 |
908 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
96 |
87 |
$19K |
| 87276 |
|
504 |
492 |
$14K |
| 87275 |
|
504 |
492 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
26 |
26 |
$10K |
| 81025 |
|
1,236 |
1,152 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
48 |
47 |
$8K |
| 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 |
267 |
252 |
$7K |
| 87070 |
|
566 |
550 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
392 |
374 |
$7K |
| 84484 |
|
2,330 |
1,644 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
309 |
250 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
148 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
431 |
391 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
87 |
79 |
$4K |
| 81001 |
|
1,283 |
1,148 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
149 |
124 |
$4K |
| 83690 |
|
1,445 |
1,305 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
134 |
$3K |
| 88313 |
|
30 |
29 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,038 |
851 |
$2K |
| 83880 |
|
874 |
715 |
$2K |
| 81003 |
|
1,447 |
1,247 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
128 |
117 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,466 |
3,793 |
$1K |
| 80076 |
|
300 |
282 |
$1K |
| 85610 |
|
1,332 |
1,164 |
$995.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,450 |
1,200 |
$952.65 |
| 88312 |
|
12 |
12 |
$897.48 |
| 85730 |
|
906 |
784 |
$777.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
356 |
303 |
$704.12 |
| 81002 |
|
133 |
129 |
$660.39 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$572.11 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,051 |
588 |
$553.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
409 |
290 |
$194.56 |
| 84702 |
|
15 |
12 |
$189.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
42 |
$186.04 |
| 36415 |
Collection of venous blood by venipuncture |
2,398 |
1,469 |
$158.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
240 |
166 |
$139.34 |
| 83735 |
|
1,004 |
604 |
$114.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
42 |
$48.14 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
577 |
505 |
$47.61 |
| 82248 |
|
83 |
77 |
$42.28 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,430 |
1,102 |
$33.56 |
| J2704 |
Injection, propofol, 10 mg |
315 |
288 |
$32.10 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
20 |
13 |
$25.79 |
| J3490 |
Unclassified drugs |
167 |
143 |
$15.99 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
235 |
79 |
$8.35 |
| 84100 |
|
483 |
296 |
$2.49 |
| 82570 |
|
101 |
49 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
30 |
28 |
$0.00 |
| 84156 |
|
83 |
49 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
15 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
161 |
149 |
$0.00 |
| A9270 |
Non-covered item or service |
1,479 |
744 |
$0.00 |
| 96376 |
|
50 |
16 |
$0.00 |
| C1769 |
Guide wire |
14 |
14 |
$0.00 |