| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,986 |
5,553 |
$390K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,339 |
1,267 |
$317K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,157 |
1,398 |
$256K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,456 |
6,896 |
$253K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,964 |
1,865 |
$79K |
| 80053 |
Comprehensive metabolic panel |
6,900 |
6,241 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,629 |
6,799 |
$57K |
| 87430 |
|
2,076 |
2,003 |
$34K |
| 87400 |
|
2,275 |
2,167 |
$25K |
| 80306 |
|
1,699 |
1,583 |
$18K |
| 81001 |
|
4,554 |
4,205 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
694 |
511 |
$13K |
| 87081 |
|
1,000 |
968 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
337 |
320 |
$10K |
| 97597 |
|
533 |
208 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,003 |
922 |
$8K |
| 85610 |
|
1,587 |
1,499 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,033 |
966 |
$4K |
| G0378 |
Hospital observation service, per hour |
111 |
105 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
371 |
346 |
$3K |
| 85730 |
|
1,537 |
1,456 |
$3K |
| 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 |
44 |
44 |
$3K |
| 84484 |
|
385 |
341 |
$2K |
| 80061 |
Lipid panel |
121 |
119 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
37 |
36 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,169 |
1,106 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
28 |
$1K |
| 87420 |
|
49 |
47 |
$973.82 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
44 |
24 |
$953.41 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
50 |
$899.78 |
| 82553 |
|
106 |
95 |
$850.42 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
21 |
12 |
$762.36 |
| 87070 |
|
140 |
114 |
$738.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
668 |
624 |
$399.40 |
| 82550 |
|
73 |
67 |
$330.98 |
| 83690 |
|
55 |
50 |
$284.46 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
161 |
149 |
$264.05 |
| 87186 |
|
51 |
37 |
$255.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
196 |
171 |
$216.94 |
| 85027 |
|
30 |
24 |
$198.52 |
| 87077 |
|
51 |
37 |
$182.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
655 |
596 |
$178.44 |
| 82805 |
|
13 |
12 |
$174.64 |
| 81025 |
|
40 |
40 |
$169.72 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
128 |
121 |
$142.52 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
14 |
$123.30 |
| 87040 |
|
13 |
12 |
$80.88 |
| 82150 |
|
13 |
12 |
$72.63 |
| 83735 |
|
15 |
12 |
$69.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,048 |
969 |
$66.33 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
46 |
42 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
48 |
37 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
50 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
64 |
58 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
334 |
76 |
$0.00 |
| C1780 |
Lens, intraocular (new technology) |
21 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
13 |
13 |
$0.00 |