| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,333 |
1,015 |
$269K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,359 |
1,145 |
$230K |
| 80053 |
Comprehensive metabolic panel |
2,998 |
2,476 |
$146K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,072 |
1,734 |
$129K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,961 |
2,429 |
$66K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
139 |
109 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,132 |
932 |
$45K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
660 |
604 |
$40K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
288 |
261 |
$35K |
| J3490 |
Unclassified drugs |
1,496 |
689 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
366 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
669 |
337 |
$26K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
281 |
120 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
105 |
26 |
$9K |
| 87631 |
|
54 |
53 |
$9K |
| 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 |
94 |
86 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
343 |
330 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,323 |
1,102 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
128 |
125 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
83 |
24 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
98 |
92 |
$5K |
| 80061 |
Lipid panel |
129 |
123 |
$4K |
| 81001 |
|
244 |
213 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
113 |
92 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
38 |
32 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
84 |
77 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
76 |
$2K |
| 86140 |
|
72 |
66 |
$2K |
| 85027 |
|
66 |
61 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
37 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
359 |
220 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
16 |
13 |
$868.57 |
| 81003 |
|
102 |
96 |
$864.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$750.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$630.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
30 |
$598.03 |
| 85610 |
|
30 |
24 |
$394.85 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
17 |
12 |
$292.12 |
| A9270 |
Non-covered item or service |
15 |
12 |
$290.23 |
| 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 |
16 |
12 |
$267.50 |
| 82043 |
|
15 |
14 |
$176.32 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
12 |
$76.31 |