| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,410 |
4,969 |
$362K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,763 |
3,504 |
$287K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,692 |
1,577 |
$195K |
| 87631 |
|
392 |
380 |
$56K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
321 |
297 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
679 |
660 |
$24K |
| 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 |
232 |
206 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,817 |
1,648 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,610 |
840 |
$18K |
| 80050 |
General health panel |
272 |
270 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
254 |
247 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,584 |
1,556 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,180 |
1,970 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
123 |
117 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
385 |
353 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
257 |
254 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
778 |
762 |
$9K |
| 80061 |
Lipid panel |
527 |
515 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
208 |
203 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
270 |
263 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
381 |
321 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
55 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
456 |
420 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
191 |
173 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
398 |
368 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
357 |
334 |
$3K |
| 84484 |
|
309 |
281 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
186 |
177 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
325 |
312 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
92 |
89 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
334 |
325 |
$2K |
| 83735 |
|
341 |
324 |
$2K |
| 81001 |
|
737 |
691 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
16 |
16 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
611 |
593 |
$2K |
| 86618 |
|
49 |
49 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
14 |
$1K |
| 84439 |
|
119 |
118 |
$1K |
| 71250 |
|
17 |
16 |
$914.10 |
| 83690 |
|
186 |
173 |
$903.50 |
| 80076 |
|
96 |
91 |
$792.60 |
| 82570 |
|
113 |
108 |
$778.41 |
| 82043 |
|
94 |
94 |
$757.85 |
| 87077 |
|
108 |
100 |
$719.54 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
14 |
$675.96 |
| 87186 |
|
87 |
83 |
$668.00 |
| 81003 |
|
219 |
208 |
$647.25 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$643.92 |
| 83540 |
|
66 |
66 |
$557.15 |
| 86140 |
|
173 |
166 |
$509.33 |
| 85610 |
|
166 |
141 |
$496.40 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
41 |
39 |
$471.60 |
| 73610 |
|
24 |
24 |
$453.20 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,052 |
978 |
$432.77 |
| 85652 |
|
145 |
138 |
$429.30 |
| 85027 |
|
61 |
54 |
$405.89 |
| 87081 |
|
66 |
65 |
$367.31 |
| 74018 |
|
26 |
25 |
$359.60 |
| 85379 |
|
36 |
36 |
$331.78 |
| 82728 |
|
28 |
27 |
$330.00 |
| 83605 |
|
40 |
37 |
$286.40 |
| 73030 |
|
15 |
14 |
$235.95 |
| G0008 |
Administration of influenza virus vaccine |
22 |
21 |
$231.00 |
| 84703 |
|
25 |
25 |
$224.77 |
| 81025 |
|
53 |
50 |
$214.80 |
| 90686 |
|
13 |
12 |
$159.06 |
| 82607 |
|
14 |
13 |
$157.30 |
| 85730 |
|
27 |
25 |
$148.14 |
| 83550 |
|
27 |
27 |
$137.50 |
| 73130 |
|
12 |
12 |
$123.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
719 |
677 |
$97.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
150 |
148 |
$79.99 |
| 36415 |
Collection of venous blood by venipuncture |
293 |
208 |
$38.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
468 |
434 |
$33.95 |
| 3078F |
|
635 |
609 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
89 |
80 |
$0.00 |
| 3074F |
|
1,128 |
1,075 |
$0.00 |
| 3079F |
|
420 |
402 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
207 |
189 |
$0.00 |