| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,538 |
14,339 |
$1.02M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,749 |
8,332 |
$1.01M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,534 |
1,094 |
$470K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,890 |
3,063 |
$451K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
988 |
670 |
$273K |
| 70450 |
Computed tomography, head or brain; without contrast material |
678 |
529 |
$169K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,084 |
1,039 |
$137K |
| 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 |
676 |
586 |
$126K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
689 |
416 |
$121K |
| 80053 |
Comprehensive metabolic panel |
11,156 |
8,925 |
$116K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,266 |
330 |
$98K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,126 |
1,908 |
$71K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
39 |
27 |
$63K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
380 |
286 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,559 |
10,285 |
$52K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
603 |
239 |
$49K |
| 80061 |
Lipid panel |
1,979 |
1,808 |
$47K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
162 |
112 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
128 |
83 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
17,346 |
12,005 |
$29K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,484 |
1,265 |
$27K |
| G0378 |
Hospital observation service, per hour |
406 |
157 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,312 |
1,162 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,429 |
1,008 |
$17K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
153 |
121 |
$17K |
| 84439 |
|
699 |
619 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
604 |
532 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
238 |
197 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
881 |
721 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,347 |
2,384 |
$8K |
| 87088 |
|
783 |
612 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
26 |
$6K |
| 86140 |
|
1,310 |
986 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
238 |
197 |
$6K |
| 81001 |
|
4,539 |
3,511 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
266 |
202 |
$3K |
| 84484 |
|
2,348 |
1,215 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,399 |
1,030 |
$3K |
| 0002A |
|
86 |
79 |
$3K |
| 85027 |
|
324 |
257 |
$3K |
| 0001A |
|
78 |
71 |
$2K |
| 83880 |
|
663 |
475 |
$2K |
| 87400 |
|
100 |
88 |
$2K |
| 85610 |
|
390 |
218 |
$2K |
| 82607 |
|
112 |
106 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
722 |
669 |
$2K |
| 83735 |
|
326 |
225 |
$2K |
| 83690 |
|
1,471 |
940 |
$1K |
| 83605 |
|
826 |
535 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
118 |
95 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,178 |
805 |
$1K |
| 82570 |
|
115 |
83 |
$927.27 |
| 84703 |
|
1,058 |
748 |
$908.55 |
| 80164 |
|
56 |
33 |
$828.34 |
| 85379 |
|
539 |
380 |
$750.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,441 |
1,108 |
$741.05 |
| 00160 |
|
34 |
26 |
$708.74 |
| 87040 |
|
751 |
345 |
$689.52 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,364 |
2,511 |
$567.78 |
| 82948 |
|
433 |
195 |
$484.12 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,760 |
1,946 |
$470.35 |
| 87070 |
|
62 |
26 |
$407.63 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,090 |
449 |
$379.56 |
| 80076 |
|
58 |
30 |
$317.36 |
| 82043 |
|
43 |
41 |
$298.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
688 |
503 |
$297.07 |
| 96376 |
|
448 |
247 |
$284.30 |
| 85651 |
|
61 |
36 |
$262.94 |
| 82728 |
|
14 |
14 |
$262.25 |
| 83540 |
|
27 |
27 |
$255.82 |
| 84702 |
|
18 |
12 |
$242.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,753 |
2,699 |
$239.67 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
55 |
39 |
$213.27 |
| 87807 |
|
208 |
153 |
$200.64 |
| 82746 |
|
13 |
13 |
$162.83 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,457 |
894 |
$126.48 |
| 87430 |
|
153 |
110 |
$120.77 |
| 73110 |
|
17 |
12 |
$109.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,651 |
1,054 |
$107.93 |
| 87486 |
|
40 |
27 |
$106.62 |
| 87581 |
|
40 |
27 |
$106.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
638 |
402 |
$105.21 |
| 85730 |
|
43 |
28 |
$100.43 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
456 |
240 |
$98.93 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
79 |
40 |
$93.07 |
| 87081 |
|
44 |
24 |
$68.54 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
25 |
13 |
$55.48 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,990 |
1,759 |
$46.19 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,192 |
584 |
$37.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
808 |
553 |
$21.10 |
| C9113 |
Injection, pantoprazole sodium, per vial |
44 |
26 |
$20.86 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
47 |
25 |
$11.31 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
559 |
374 |
$10.94 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
82 |
49 |
$5.85 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,207 |
584 |
$3.56 |
| J2060 |
Injection, lorazepam, 2 mg |
58 |
25 |
$2.19 |
| 91300 |
|
167 |
136 |
$1.37 |
| J2704 |
Injection, propofol, 10 mg |
956 |
661 |
$0.19 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
127 |
106 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
41 |
24 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
33 |
14 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| 73610 |
|
16 |
15 |
$0.00 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
73 |
27 |
$0.00 |
| 80320 |
|
31 |
24 |
$0.00 |