| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,165 |
15,944 |
$3.71M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,930 |
16,807 |
$2.62M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,273 |
6,632 |
$2.27M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
7,520 |
1,762 |
$535K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,582 |
1,262 |
$507K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,092 |
3,863 |
$349K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,857 |
9,077 |
$220K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
465 |
368 |
$178K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,679 |
28,069 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,936 |
4,551 |
$101K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34,270 |
30,543 |
$98K |
| 80053 |
Comprehensive metabolic panel |
27,834 |
24,002 |
$76K |
| 97597 |
|
2,017 |
1,020 |
$76K |
| 84484 |
|
4,027 |
3,570 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,454 |
4,101 |
$36K |
| 77336 |
|
1,125 |
459 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
4,390 |
4,015 |
$33K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,499 |
3,250 |
$30K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
634 |
225 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,756 |
6,134 |
$24K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,578 |
4,177 |
$21K |
| 43248 |
|
69 |
54 |
$21K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
836 |
753 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,251 |
1,171 |
$16K |
| 77412 |
|
468 |
50 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
68 |
52 |
$15K |
| 83690 |
|
3,909 |
3,637 |
$13K |
| 77386 |
|
110 |
12 |
$12K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
135 |
64 |
$11K |
| G0378 |
Hospital observation service, per hour |
17 |
13 |
$11K |
| 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 |
183 |
168 |
$11K |
| 87276 |
|
2,548 |
2,408 |
$11K |
| 87275 |
|
2,548 |
2,408 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,217 |
9,239 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,264 |
1,178 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,850 |
2,580 |
$5K |
| 82728 |
|
1,611 |
1,501 |
$4K |
| 84466 |
|
1,574 |
1,475 |
$4K |
| 77300 |
|
41 |
38 |
$3K |
| 81001 |
|
4,204 |
3,920 |
$3K |
| 84703 |
|
445 |
427 |
$3K |
| 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 |
32 |
29 |
$2K |
| 77334 |
|
47 |
36 |
$2K |
| 83540 |
|
1,593 |
1,489 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
48 |
$2K |
| 81003 |
|
2,240 |
2,102 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
150 |
143 |
$2K |
| 82550 |
|
607 |
548 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
555 |
508 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
62 |
50 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
241 |
220 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$874.19 |
| 81025 |
|
100 |
90 |
$844.51 |
| 84443 |
Thyroid stimulating hormone (TSH) |
246 |
218 |
$798.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
27 |
$778.93 |
| 82553 |
|
501 |
451 |
$710.27 |
| 82607 |
|
264 |
240 |
$586.36 |
| 80061 |
Lipid panel |
235 |
210 |
$549.99 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
26 |
24 |
$443.04 |
| 83970 |
|
161 |
143 |
$425.24 |
| 87081 |
|
211 |
207 |
$397.59 |
| 84439 |
|
188 |
167 |
$352.68 |
| 82570 |
|
507 |
463 |
$324.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
29 |
$297.27 |
| 83735 |
|
122 |
106 |
$234.80 |
| 85610 |
|
72 |
65 |
$227.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
127 |
$227.52 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
932 |
843 |
$222.63 |
| 82150 |
|
29 |
28 |
$210.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
187 |
162 |
$163.13 |
| 85027 |
|
252 |
222 |
$158.55 |
| 82043 |
|
466 |
423 |
$155.35 |
| 87186 |
|
27 |
27 |
$148.19 |
| 87522 |
Neg quan hep c or qual rna |
16 |
14 |
$146.90 |
| 82077 |
|
59 |
51 |
$141.44 |
| 84156 |
|
494 |
452 |
$108.57 |
| 80076 |
|
55 |
52 |
$85.26 |
| 82746 |
|
68 |
65 |
$81.89 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
32 |
24 |
$73.86 |
| 84100 |
|
175 |
161 |
$50.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$44.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,929 |
1,772 |
$27.19 |
| 87077 |
|
12 |
12 |
$21.76 |
| 82977 |
|
28 |
28 |
$19.01 |
| 88342 |
|
123 |
114 |
$15.27 |
| 86140 |
|
14 |
13 |
$13.52 |
| 83921 |
|
12 |
12 |
$11.29 |
| 83615 |
|
13 |
12 |
$4.14 |
| A9270 |
Non-covered item or service |
987 |
857 |
$0.00 |