| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,627 |
6,457 |
$404K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,929 |
1,580 |
$201K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,323 |
2,710 |
$149K |
| 80047 |
|
3,100 |
2,542 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
865 |
729 |
$48K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
427 |
378 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
528 |
461 |
$31K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
244 |
216 |
$22K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
272 |
220 |
$17K |
| 85027 |
|
4,161 |
3,288 |
$16K |
| 84484 |
|
1,944 |
1,109 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,678 |
1,345 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
217 |
194 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
137 |
115 |
$8K |
| 82150 |
|
1,883 |
1,595 |
$7K |
| 82977 |
|
1,873 |
1,591 |
$7K |
| 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 |
86 |
78 |
$6K |
| 81003 |
|
2,167 |
1,803 |
$6K |
| 81025 |
|
841 |
709 |
$5K |
| 84460 |
|
1,625 |
1,411 |
$5K |
| 82040 |
|
1,614 |
1,401 |
$5K |
| 84075 |
|
1,625 |
1,411 |
$5K |
| 84450 |
|
1,621 |
1,409 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
56 |
$5K |
| 82247 |
|
1,625 |
1,411 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
878 |
733 |
$4K |
| 84155 |
|
1,620 |
1,407 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
25 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
24 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
163 |
144 |
$1K |
| 80053 |
Comprehensive metabolic panel |
173 |
118 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,611 |
2,116 |
$1K |
| 83605 |
|
158 |
137 |
$1K |
| 83880 |
|
54 |
49 |
$935.36 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$872.16 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
50 |
44 |
$781.79 |
| 85379 |
|
128 |
107 |
$757.93 |
| 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 |
86 |
78 |
$750.75 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,711 |
1,398 |
$635.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,318 |
1,882 |
$577.58 |
| 71045 |
Radiologic examination, chest; single view |
1,398 |
1,141 |
$494.50 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
12 |
$327.43 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
12 |
$327.43 |
| 83690 |
|
48 |
39 |
$213.96 |
| 81001 |
|
93 |
77 |
$158.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
450 |
401 |
$39.20 |
| 85610 |
|
12 |
12 |
$35.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,251 |
990 |
$34.97 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,380 |
1,159 |
$27.72 |
| 71046 |
Radiologic examination, chest; 2 views |
753 |
668 |
$18.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,620 |
1,353 |
$15.44 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
78 |
63 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
16 |
15 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
85 |
65 |
$0.00 |
| 96376 |
|
72 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
25 |
$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 |
14 |
14 |
$0.00 |