| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,338 |
5,691 |
$1.43M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,013 |
6,173 |
$242K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,734 |
3,857 |
$177K |
| 80053 |
Comprehensive metabolic panel |
15,671 |
12,897 |
$139K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,105 |
975 |
$111K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,951 |
13,199 |
$104K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,205 |
1,961 |
$71K |
| 71045 |
Radiologic examination, chest; single view |
3,096 |
2,611 |
$52K |
| 76801 |
|
680 |
566 |
$51K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
772 |
731 |
$49K |
| 81001 |
|
8,138 |
7,048 |
$22K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
116 |
86 |
$21K |
| 81025 |
|
2,440 |
2,247 |
$17K |
| 84702 |
|
1,721 |
1,407 |
$16K |
| 84484 |
|
2,653 |
2,028 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
137 |
126 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
343 |
325 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
146 |
122 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
143 |
124 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
375 |
282 |
$8K |
| 84030 |
|
1,019 |
970 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
551 |
513 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
526 |
438 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
76 |
66 |
$4K |
| 83690 |
|
1,629 |
1,433 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
134 |
127 |
$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 |
162 |
153 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,047 |
728 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
517 |
475 |
$4K |
| 83880 |
|
296 |
260 |
$3K |
| 96376 |
|
62 |
36 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
80 |
72 |
$2K |
| 86900 |
|
885 |
740 |
$1K |
| 86901 |
|
828 |
737 |
$1K |
| 83735 |
|
1,488 |
1,002 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
65 |
60 |
$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 |
162 |
153 |
$1K |
| 81003 |
|
1,127 |
961 |
$1K |
| 84703 |
|
239 |
215 |
$1K |
| 85610 |
|
820 |
704 |
$946.74 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
13 |
$878.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
191 |
169 |
$865.96 |
| 85730 |
|
420 |
380 |
$806.66 |
| 94760 |
|
48 |
37 |
$802.87 |
| 0011A |
|
77 |
74 |
$777.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
479 |
405 |
$764.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,323 |
945 |
$756.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,787 |
1,415 |
$583.27 |
| 86850 |
|
60 |
50 |
$519.03 |
| 36415 |
Collection of venous blood by venipuncture |
19,406 |
16,277 |
$499.80 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
34 |
31 |
$450.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
760 |
490 |
$420.39 |
| 0012A |
|
46 |
46 |
$418.42 |
| 87430 |
|
49 |
44 |
$417.50 |
| 85027 |
|
209 |
168 |
$381.48 |
| 87210 |
|
98 |
91 |
$379.98 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
148 |
84 |
$373.71 |
| T2101 |
Human breast milk processing, storage and distribution only |
27 |
15 |
$321.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
522 |
422 |
$296.28 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$256.80 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
12 |
$198.36 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
12 |
$188.52 |
| 84100 |
|
626 |
364 |
$159.02 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
22 |
12 |
$73.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
135 |
100 |
$45.76 |
| 0002A |
|
15 |
15 |
$28.39 |
| 85007 |
|
19 |
16 |
$28.23 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
28 |
$27.37 |
| 80197 |
|
255 |
124 |
$21.90 |
| 84132 |
|
12 |
12 |
$14.52 |
| 82962 |
|
1,384 |
675 |
$2.46 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,204 |
883 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
51 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
27 |
26 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
79 |
41 |
$0.00 |
| 36416 |
|
23 |
15 |
$0.00 |