| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,221 |
21,356 |
$1.73M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,926 |
13,504 |
$733K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,269 |
1,865 |
$335K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,976 |
7,037 |
$334K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,770 |
25,329 |
$190K |
| 80053 |
Comprehensive metabolic panel |
20,162 |
16,638 |
$137K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
189 |
175 |
$98K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,890 |
2,559 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,566 |
3,156 |
$78K |
| 71045 |
Radiologic examination, chest; single view |
3,216 |
2,760 |
$75K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,008 |
5,284 |
$70K |
| 36415 |
Collection of venous blood by venipuncture |
33,778 |
26,176 |
$58K |
| 99215 |
Prolong outpt/office vis |
950 |
706 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
1,414 |
1,315 |
$47K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
789 |
707 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,264 |
1,040 |
$42K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,898 |
1,643 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,034 |
6,664 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,680 |
514 |
$38K |
| 81001 |
|
13,555 |
11,981 |
$37K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,505 |
1,285 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
651 |
636 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
844 |
323 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
398 |
330 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
219 |
203 |
$20K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
421 |
175 |
$19K |
| 0240U |
|
120 |
105 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
333 |
303 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
301 |
259 |
$14K |
| 83690 |
|
2,692 |
2,372 |
$14K |
| 84703 |
|
1,755 |
1,534 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,027 |
914 |
$12K |
| 84484 |
|
2,518 |
1,968 |
$11K |
| 80306 |
|
592 |
530 |
$9K |
| 97597 |
|
346 |
154 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
260 |
246 |
$8K |
| J3490 |
Unclassified drugs |
1,460 |
681 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
716 |
641 |
$5K |
| 77300 |
|
24 |
12 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
741 |
674 |
$4K |
| 83735 |
|
903 |
776 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,352 |
987 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,960 |
1,779 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
202 |
$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 |
39 |
32 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
31 |
29 |
$2K |
| 87088 |
|
255 |
234 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
139 |
39 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
29 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
247 |
218 |
$931.29 |
| 85610 |
|
563 |
497 |
$891.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
65 |
$785.40 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
13 |
$768.46 |
| 87070 |
|
54 |
51 |
$450.66 |
| 80329 |
|
50 |
25 |
$429.53 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
433 |
372 |
$319.64 |
| 82948 |
|
91 |
81 |
$309.26 |
| 83880 |
|
59 |
50 |
$275.07 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
674 |
495 |
$216.87 |
| 94761 |
|
914 |
821 |
$173.67 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$172.76 |
| 82728 |
|
14 |
13 |
$168.88 |
| 83605 |
|
29 |
25 |
$151.02 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
27 |
$126.18 |
| 82077 |
|
40 |
37 |
$124.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$115.36 |
| 80320 |
|
29 |
27 |
$85.16 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
51 |
36 |
$44.37 |
| A9270 |
Non-covered item or service |
112 |
89 |
$0.69 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
16 |
14 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
49 |
28 |
$0.00 |
| 93307 |
|
26 |
26 |
$0.00 |