| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,983 |
8,113 |
$1.73M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,221 |
10,522 |
$1.50M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,618 |
4,924 |
$1.28M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,986 |
2,792 |
$188K |
| 80053 |
Comprehensive metabolic panel |
8,774 |
7,430 |
$114K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,955 |
8,599 |
$111K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,038 |
3,502 |
$102K |
| 84484 |
|
3,146 |
1,864 |
$66K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,250 |
1,936 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
225 |
194 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
2,656 |
2,402 |
$49K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
786 |
752 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,995 |
1,238 |
$38K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,903 |
1,569 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,793 |
1,602 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
188 |
168 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
715 |
646 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
788 |
762 |
$24K |
| 85027 |
|
3,165 |
2,571 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,054 |
904 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
225 |
195 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,851 |
1,590 |
$16K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
539 |
413 |
$13K |
| 87430 |
|
740 |
712 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25 |
25 |
$12K |
| 81001 |
|
3,317 |
2,927 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,074 |
4,240 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
443 |
67 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
138 |
125 |
$6K |
| 83735 |
|
780 |
650 |
$6K |
| 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 |
91 |
91 |
$5K |
| 81025 |
|
478 |
452 |
$4K |
| 83690 |
|
315 |
276 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
660 |
586 |
$3K |
| 80061 |
Lipid panel |
741 |
658 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
762 |
669 |
$3K |
| 87040 |
|
273 |
133 |
$2K |
| 87081 |
|
122 |
121 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,018 |
896 |
$2K |
| 81003 |
|
1,188 |
1,065 |
$2K |
| 80076 |
|
1,027 |
912 |
$2K |
| 83605 |
|
259 |
208 |
$2K |
| 82550 |
|
296 |
238 |
$2K |
| J3490 |
Unclassified drugs |
2,441 |
1,477 |
$1K |
| 85379 |
|
44 |
40 |
$740.91 |
| 96376 |
|
33 |
29 |
$662.03 |
| 71045 |
Radiologic examination, chest; single view |
93 |
79 |
$660.58 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$315.28 |
| 85730 |
|
50 |
40 |
$195.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
448 |
398 |
$188.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,023 |
871 |
$187.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,184 |
983 |
$119.29 |
| 85610 |
|
50 |
40 |
$114.86 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$102.87 |
| 80047 |
|
35 |
28 |
$26.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
401 |
348 |
$23.42 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
27 |
26 |
$17.43 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
39 |
37 |
$0.00 |
| 80050 |
General health panel |
18 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
19 |
14 |
$0.00 |