| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,512 |
6,204 |
$660K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,310 |
7,066 |
$489K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,440 |
2,319 |
$323K |
| 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 |
1,729 |
1,664 |
$154K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,109 |
2,936 |
$101K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,865 |
10,834 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
380 |
364 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
1,691 |
1,644 |
$66K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,907 |
2,770 |
$63K |
| 80053 |
Comprehensive metabolic panel |
8,464 |
7,477 |
$55K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
109 |
107 |
$49K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,135 |
1,001 |
$37K |
| 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 |
932 |
914 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
800 |
777 |
$20K |
| 0225U |
|
49 |
40 |
$17K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,030 |
1,775 |
$16K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
546 |
298 |
$15K |
| 81025 |
|
2,092 |
1,968 |
$14K |
| 84484 |
|
1,693 |
1,549 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
236 |
226 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,305 |
1,237 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
5,806 |
4,792 |
$9K |
| 81001 |
|
2,671 |
2,574 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
172 |
165 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
117 |
100 |
$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 |
337 |
302 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
275 |
272 |
$6K |
| 81003 |
|
2,620 |
2,512 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
505 |
419 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
49 |
49 |
$4K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
35 |
25 |
$4K |
| 82728 |
|
366 |
347 |
$4K |
| 83690 |
|
607 |
585 |
$3K |
| J3490 |
Unclassified drugs |
682 |
501 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
58 |
56 |
$3K |
| 84466 |
|
283 |
270 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
245 |
196 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
81 |
26 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
280 |
241 |
$2K |
| 83540 |
|
350 |
332 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
342 |
324 |
$1K |
| V2632 |
Posterior chamber intraocular lens |
43 |
26 |
$966.00 |
| 20610 |
|
73 |
68 |
$828.11 |
| 87430 |
|
61 |
60 |
$785.40 |
| 83605 |
|
69 |
67 |
$656.94 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
354 |
346 |
$614.63 |
| 87088 |
|
81 |
77 |
$484.09 |
| 83735 |
|
92 |
92 |
$480.18 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
379 |
368 |
$438.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$344.96 |
| 83550 |
|
53 |
50 |
$317.60 |
| 85027 |
|
29 |
14 |
$207.80 |
| 87070 |
|
20 |
19 |
$182.41 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$157.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
65 |
63 |
$149.50 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
32 |
25 |
$146.85 |
| 87040 |
|
18 |
16 |
$128.60 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
29 |
27 |
$96.55 |
| 85007 |
|
29 |
14 |
$95.52 |
| 87081 |
|
13 |
13 |
$86.16 |
| 82962 |
|
12 |
12 |
$37.48 |