| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,625 |
4,329 |
$1.95M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,061 |
7,827 |
$1.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,495 |
1,344 |
$877K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,884 |
1,821 |
$280K |
| 59025 |
Fetal non-stress test |
535 |
333 |
$178K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,869 |
2,754 |
$121K |
| 71045 |
Radiologic examination, chest; single view |
1,014 |
930 |
$106K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
717 |
705 |
$94K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
732 |
599 |
$90K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,920 |
7,102 |
$80K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
842 |
828 |
$76K |
| 80053 |
Comprehensive metabolic panel |
5,892 |
5,316 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
902 |
888 |
$73K |
| 87400 |
|
845 |
829 |
$64K |
| 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 |
576 |
558 |
$58K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
977 |
876 |
$54K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
978 |
877 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
380 |
255 |
$41K |
| 87430 |
|
1,299 |
1,266 |
$36K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
635 |
560 |
$35K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
341 |
297 |
$29K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,411 |
1,349 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
208 |
86 |
$25K |
| 86703 |
|
902 |
871 |
$20K |
| 87807 |
|
709 |
693 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
177 |
88 |
$14K |
| 86850 |
|
225 |
211 |
$13K |
| 87428 |
|
288 |
285 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,134 |
1,042 |
$13K |
| 87340 |
|
773 |
747 |
$12K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,087 |
946 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
24 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,068 |
1,031 |
$11K |
| 80061 |
Lipid panel |
769 |
743 |
$8K |
| 85730 |
|
1,031 |
945 |
$8K |
| 85610 |
|
1,357 |
1,224 |
$7K |
| 84439 |
|
602 |
580 |
$7K |
| 86592 |
|
858 |
824 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
107 |
105 |
$5K |
| 81001 |
|
1,347 |
1,217 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
52 |
51 |
$4K |
| 81025 |
|
327 |
300 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
347 |
320 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
89 |
86 |
$3K |
| 83690 |
|
370 |
324 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
115 |
114 |
$3K |
| 99201 |
|
52 |
30 |
$3K |
| 86803 |
|
117 |
114 |
$2K |
| 81003 |
|
1,005 |
921 |
$2K |
| 84484 |
|
176 |
120 |
$2K |
| 84702 |
|
79 |
66 |
$2K |
| 76801 |
|
16 |
13 |
$2K |
| 82150 |
|
188 |
173 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
194 |
163 |
$1K |
| 94664 |
|
16 |
15 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
35 |
34 |
$1K |
| 94760 |
|
33 |
31 |
$1K |
| 82607 |
|
66 |
65 |
$1K |
| 86900 |
|
250 |
235 |
$1K |
| 86901 |
|
250 |
235 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
112 |
100 |
$1K |
| 83880 |
|
38 |
33 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
10,176 |
8,573 |
$938.97 |
| 82746 |
|
69 |
68 |
$909.82 |
| 87081 |
|
70 |
70 |
$856.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
62 |
$809.55 |
| 86787 |
|
26 |
24 |
$614.30 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$514.27 |
| 82950 |
|
70 |
69 |
$491.41 |
| 83540 |
|
95 |
90 |
$443.27 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$413.68 |
| 87040 |
|
45 |
39 |
$377.26 |
| 83605 |
|
69 |
53 |
$366.90 |
| 82105 |
|
13 |
12 |
$285.30 |
| 83550 |
|
37 |
36 |
$233.05 |
| 86038 |
|
13 |
12 |
$231.71 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
15 |
$220.30 |
| 82728 |
|
28 |
26 |
$207.16 |
| 84153 |
|
12 |
12 |
$199.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
157 |
139 |
$148.28 |
| J7510 |
Prednisolone oral, per 5 mg |
75 |
75 |
$148.18 |
| 87077 |
|
22 |
12 |
$142.44 |
| J7050 |
Infusion, normal saline solution, 250 cc |
16 |
12 |
$127.92 |
| 83735 |
|
40 |
37 |
$126.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
15 |
$112.52 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
14 |
14 |
$68.15 |
| 87210 |
|
39 |
29 |
$39.97 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
14 |
$29.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$25.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
87 |
77 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
16 |
14 |
$0.00 |