| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,794 |
5,966 |
$590K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,010 |
5,520 |
$526K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,261 |
2,813 |
$305K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,140 |
1,054 |
$94K |
| 80053 |
Comprehensive metabolic panel |
7,573 |
6,150 |
$80K |
| 36415 |
Collection of venous blood by venipuncture |
5,181 |
3,908 |
$63K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,069 |
952 |
$54K |
| 82947 |
|
404 |
294 |
$41K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,233 |
995 |
$37K |
| 87430 |
|
636 |
607 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
226 |
197 |
$19K |
| 87400 |
|
597 |
536 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,916 |
2,501 |
$18K |
| 87088 |
|
1,541 |
1,348 |
$16K |
| A9270 |
Non-covered item or service |
7,199 |
4,217 |
$15K |
| 81001 |
|
3,734 |
3,261 |
$13K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
590 |
535 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,642 |
6,065 |
$10K |
| 84484 |
|
1,760 |
1,359 |
$9K |
| 87486 |
|
900 |
845 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,723 |
2,256 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,864 |
1,591 |
$7K |
| 81003 |
|
1,017 |
905 |
$6K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
986 |
921 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
218 |
200 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
291 |
227 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
299 |
270 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,151 |
1,809 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,458 |
1,292 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,014 |
782 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
18 |
15 |
$2K |
| 81025 |
|
1,725 |
1,595 |
$2K |
| 93041 |
|
1,315 |
1,118 |
$2K |
| 59025 |
Fetal non-stress test |
15 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
499 |
391 |
$2K |
| 94760 |
|
431 |
314 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,040 |
824 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
809 |
743 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
14 |
$2K |
| 94664 |
|
215 |
167 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
338 |
281 |
$1K |
| 87210 |
|
94 |
88 |
$1K |
| 83690 |
|
1,553 |
1,353 |
$772.90 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
74 |
66 |
$730.63 |
| 84443 |
Thyroid stimulating hormone (TSH) |
316 |
267 |
$691.65 |
| J2704 |
Injection, propofol, 10 mg |
387 |
336 |
$655.57 |
| 85027 |
|
641 |
536 |
$652.80 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$612.23 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
30 |
28 |
$565.84 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
902 |
845 |
$534.78 |
| 87581 |
|
900 |
845 |
$451.32 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
554 |
400 |
$359.91 |
| 85610 |
|
639 |
505 |
$359.03 |
| 85730 |
|
343 |
280 |
$350.13 |
| 93975 |
|
28 |
28 |
$242.47 |
| 83735 |
|
523 |
408 |
$173.29 |
| 87186 |
|
192 |
161 |
$170.83 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
12 |
$164.88 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
155 |
145 |
$154.87 |
| 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 |
40 |
39 |
$147.53 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
155 |
145 |
$69.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$67.91 |
| 80061 |
Lipid panel |
58 |
50 |
$42.89 |
| 83880 |
|
80 |
64 |
$38.98 |
| 84703 |
|
392 |
357 |
$32.22 |
| 87040 |
|
61 |
39 |
$27.84 |
| 83605 |
|
205 |
174 |
$7.79 |
| 84702 |
|
49 |
42 |
$7.68 |
| 86900 |
|
128 |
112 |
$6.72 |
| 87081 |
|
585 |
559 |
$5.18 |
| 86850 |
|
17 |
13 |
$2.90 |
| 86901 |
|
128 |
112 |
$1.38 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
62 |
53 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
476 |
450 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
481 |
432 |
$0.00 |
| 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 |
54 |
53 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
46 |
41 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
97 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
26 |
$0.00 |
| 85379 |
|
29 |
28 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
15 |
12 |
$0.00 |
| 73562 |
|
13 |
13 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
74 |
64 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
30 |
27 |
$0.00 |
| 73630 |
|
15 |
14 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
16 |
14 |
$0.00 |
| 87420 |
|
14 |
14 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
13 |
$0.00 |