| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,937 |
4,843 |
$1.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,315 |
4,259 |
$1.03M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,147 |
2,104 |
$263K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,660 |
1,632 |
$261K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
891 |
627 |
$95K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,290 |
1,239 |
$60K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
116 |
116 |
$55K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$52K |
| 80053 |
Comprehensive metabolic panel |
4,476 |
4,349 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
6,454 |
5,994 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,496 |
5,310 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
126 |
124 |
$20K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,072 |
1,475 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,112 |
1,103 |
$15K |
| 62323 |
|
50 |
50 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
179 |
171 |
$10K |
| 87428 |
|
250 |
249 |
$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 |
85 |
85 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,111 |
1,081 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
170 |
$5K |
| 83690 |
|
643 |
635 |
$4K |
| 81001 |
|
1,344 |
1,303 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
529 |
517 |
$3K |
| 76830 |
Ultrasound, transvaginal |
55 |
55 |
$3K |
| 81025 |
|
473 |
470 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$1K |
| 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 |
13 |
13 |
$1K |
| 84484 |
|
90 |
87 |
$1K |
| 97597 |
|
79 |
55 |
$783.24 |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
87 |
50 |
$773.86 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
15 |
$612.55 |
| 86850 |
|
43 |
39 |
$356.29 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
51 |
51 |
$271.92 |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
14 |
13 |
$256.84 |
| 84703 |
|
27 |
27 |
$202.28 |
| 83735 |
|
39 |
36 |
$200.76 |
| 94060 |
|
13 |
13 |
$146.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$145.60 |
| 86901 |
|
43 |
39 |
$109.06 |
| 86900 |
|
30 |
27 |
$74.48 |
| 87081 |
|
12 |
12 |
$74.03 |
| 81003 |
|
25 |
25 |
$54.18 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
47 |
47 |
$34.56 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,229 |
1,196 |
$33.42 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
43 |
41 |
$13.44 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
229 |
227 |
$3.20 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
604 |
594 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
26 |
26 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
334 |
334 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
41 |
37 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
80 |
76 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
12 |
12 |
$0.00 |