| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,408 |
3,896 |
$1.21M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,162 |
5,628 |
$933K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,875 |
1,609 |
$441K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,511 |
1,425 |
$348K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,983 |
3,487 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,294 |
5,170 |
$71K |
| 80053 |
Comprehensive metabolic panel |
4,886 |
4,118 |
$54K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
617 |
580 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
2,238 |
1,953 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,641 |
1,530 |
$39K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,345 |
1,159 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
7,455 |
6,112 |
$23K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
943 |
807 |
$21K |
| 81001 |
|
3,099 |
2,763 |
$18K |
| G0378 |
Hospital observation service, per hour |
72 |
60 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,060 |
998 |
$12K |
| 83605 |
|
1,361 |
1,163 |
$11K |
| 84484 |
|
685 |
584 |
$9K |
| 87040 |
|
883 |
752 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
138 |
121 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
393 |
323 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
542 |
458 |
$5K |
| 83690 |
|
420 |
373 |
$4K |
| 87430 |
|
296 |
284 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
98 |
86 |
$3K |
| 80076 |
|
289 |
259 |
$3K |
| 82150 |
|
329 |
290 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$2K |
| 85379 |
|
146 |
125 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
62 |
57 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
13 |
$1K |
| 85610 |
|
255 |
224 |
$962.69 |
| 85730 |
|
185 |
163 |
$882.43 |
| 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 |
93 |
44 |
$854.94 |
| 83880 |
|
76 |
66 |
$811.01 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
34 |
26 |
$714.20 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
26 |
$564.41 |
| 74018 |
|
15 |
12 |
$457.59 |
| 83735 |
|
110 |
99 |
$446.14 |
| 85027 |
|
72 |
66 |
$401.15 |
| 87081 |
|
39 |
37 |
$357.77 |
| 81025 |
|
26 |
24 |
$339.42 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
15 |
$314.92 |
| 80305 |
|
16 |
12 |
$204.23 |
| 82803 |
|
17 |
12 |
$32.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$31.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$6.00 |
| A9270 |
Non-covered item or service |
187 |
152 |
$0.00 |