| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,613 |
3,801 |
$883K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,239 |
4,448 |
$720K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
460 |
401 |
$122K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,601 |
8,142 |
$118K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
219 |
212 |
$69K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
457 |
423 |
$38K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
218 |
206 |
$32K |
| 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 |
358 |
351 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
6,843 |
6,136 |
$26K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,066 |
1,050 |
$25K |
| 80053 |
Comprehensive metabolic panel |
3,940 |
3,716 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
951 |
917 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,031 |
5,612 |
$12K |
| 84425 |
|
671 |
661 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
290 |
282 |
$11K |
| 83970 |
|
307 |
302 |
$10K |
| 82607 |
|
839 |
828 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
15 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
320 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
102 |
69 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
67 |
60 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
119 |
37 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
484 |
464 |
$4K |
| 87428 |
|
143 |
131 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
176 |
51 |
$4K |
| 84255 |
|
154 |
152 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
102 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
181 |
171 |
$2K |
| 84597 |
|
197 |
194 |
$2K |
| 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 |
95 |
93 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
70 |
63 |
$2K |
| 82746 |
|
141 |
140 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
29 |
$2K |
| 84590 |
|
172 |
169 |
$2K |
| 84446 |
|
138 |
136 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
50 |
50 |
$1K |
| 83540 |
|
293 |
289 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
50 |
50 |
$1K |
| 80061 |
Lipid panel |
120 |
115 |
$1K |
| 82525 |
|
108 |
107 |
$1K |
| 84630 |
|
105 |
103 |
$929.51 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$905.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
141 |
$818.59 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
122 |
110 |
$579.38 |
| 84439 |
|
59 |
51 |
$325.66 |
| 76000 |
|
13 |
13 |
$257.62 |
| 86780 |
|
24 |
24 |
$226.44 |
| 81002 |
|
54 |
52 |
$159.89 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$102.40 |
| 83550 |
|
13 |
13 |
$77.26 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
29 |
27 |
$76.58 |
| 83690 |
|
600 |
563 |
$60.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
303 |
280 |
$38.39 |
| 81001 |
|
992 |
917 |
$30.05 |
| 81025 |
|
45 |
40 |
$16.36 |
| 83735 |
|
165 |
147 |
$6.50 |
| 81003 |
|
43 |
39 |
$2.14 |
| A9270 |
Non-covered item or service |
475 |
437 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
469 |
428 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
129 |
124 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
82 |
74 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
91 |
73 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$0.00 |
| 82150 |
|
64 |
57 |
$0.00 |
| 84484 |
|
18 |
14 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
121 |
101 |
$0.00 |
| 0353U |
|
31 |
29 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
117 |
100 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
565 |
450 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
14 |
$0.00 |