| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
613 |
590 |
$154K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,282 |
1,583 |
$147K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
156 |
149 |
$81K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
349 |
338 |
$66K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
367 |
274 |
$31K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$23K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
64 |
62 |
$20K |
| 59025 |
Fetal non-stress test |
194 |
84 |
$14K |
| 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 |
143 |
141 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,712 |
2,403 |
$9K |
| 80055 |
|
117 |
111 |
$8K |
| 87070 |
|
768 |
732 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,878 |
1,661 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
80 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
166 |
162 |
$4K |
| 99460 |
|
50 |
49 |
$4K |
| 86850 |
|
225 |
221 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
532 |
501 |
$4K |
| 86787 |
|
208 |
200 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
24 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
14 |
$1K |
| 81001 |
|
1,017 |
923 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$874.12 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$855.74 |
| 82105 |
|
42 |
38 |
$836.96 |
| 86901 |
|
224 |
220 |
$793.58 |
| 86900 |
|
224 |
220 |
$793.58 |
| 82950 |
|
142 |
140 |
$780.13 |
| 84443 |
Thyroid stimulating hormone (TSH) |
397 |
389 |
$716.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$545.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$533.10 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
17 |
16 |
$395.88 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
70 |
68 |
$260.80 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$239.28 |
| 86780 |
|
17 |
16 |
$217.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
110 |
105 |
$189.35 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$66.15 |
| 80061 |
Lipid panel |
284 |
281 |
$60.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
40 |
$32.13 |