| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,812 |
12,785 |
$3.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,838 |
17,773 |
$3.13M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,753 |
4,324 |
$1.53M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,358 |
6,035 |
$594K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,034 |
6,466 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,410 |
5,089 |
$121K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,507 |
17,811 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
6,041 |
5,560 |
$47K |
| 80053 |
Comprehensive metabolic panel |
13,003 |
11,837 |
$37K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,064 |
11,661 |
$37K |
| 87276 |
|
5,625 |
5,329 |
$30K |
| 84484 |
|
2,694 |
2,382 |
$30K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,205 |
2,965 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,256 |
3,027 |
$25K |
| 87275 |
|
5,625 |
5,329 |
$20K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,346 |
3,042 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,909 |
1,821 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,396 |
4,075 |
$12K |
| 83690 |
|
3,451 |
3,177 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,581 |
2,409 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
789 |
727 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
167 |
151 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
524 |
480 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
236 |
224 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
225 |
65 |
$7K |
| 87081 |
|
1,689 |
1,610 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
263 |
239 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
190 |
159 |
$5K |
| 81001 |
|
5,988 |
5,577 |
$5K |
| 81025 |
|
1,613 |
1,538 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,558 |
5,914 |
$3K |
| 83605 |
|
448 |
404 |
$2K |
| 81003 |
|
2,599 |
2,399 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
167 |
$1K |
| 84702 |
|
77 |
73 |
$989.89 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
13 |
13 |
$900.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
697 |
651 |
$864.39 |
| 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 |
16 |
15 |
$705.18 |
| 84703 |
|
132 |
122 |
$622.33 |
| 82077 |
|
92 |
82 |
$408.57 |
| 80076 |
|
102 |
100 |
$250.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
258 |
238 |
$239.22 |
| 87040 |
|
15 |
12 |
$176.52 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
29 |
25 |
$172.03 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
26 |
$166.00 |
| 83735 |
|
28 |
26 |
$151.76 |
| 85610 |
|
156 |
138 |
$142.14 |
| 87807 |
|
27 |
26 |
$129.81 |
| 82805 |
|
13 |
12 |
$110.44 |
| 85730 |
|
46 |
44 |
$102.48 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
78 |
69 |
$96.71 |
| 87186 |
|
13 |
13 |
$95.55 |
| 82550 |
|
20 |
19 |
$92.15 |
| 82150 |
|
12 |
12 |
$60.36 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
49 |
$46.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$39.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,763 |
1,621 |
$0.00 |
| A9270 |
Non-covered item or service |
1,038 |
896 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
24 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
27 |
14 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
104 |
97 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
16 |
15 |
$0.00 |