| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,353 |
4,221 |
$1.03M |
| D9999 |
Unspecified adjunctive procedure, by report |
1,025 |
1,021 |
$911K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,625 |
4,486 |
$750K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,861 |
1,831 |
$625K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
848 |
808 |
$108K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
635 |
597 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,165 |
3,064 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
3,526 |
3,371 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,121 |
2,035 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
216 |
$17K |
| 87428 |
|
547 |
545 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
554 |
433 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
828 |
810 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
55 |
54 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
67 |
67 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
122 |
112 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
347 |
344 |
$5K |
| 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 |
63 |
63 |
$4K |
| 82803 |
|
162 |
149 |
$4K |
| 83605 |
|
314 |
290 |
$3K |
| 83735 |
|
541 |
515 |
$3K |
| 83690 |
|
292 |
282 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
32 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$1K |
| 87081 |
|
194 |
192 |
$1K |
| 81001 |
|
354 |
347 |
$995.29 |
| 80305 |
|
87 |
87 |
$952.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
144 |
141 |
$771.67 |
| 84484 |
|
57 |
56 |
$688.96 |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
14 |
$651.64 |
| 81025 |
|
82 |
82 |
$589.82 |
| 87807 |
|
27 |
25 |
$317.21 |
| 81003 |
|
134 |
126 |
$244.07 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
28 |
$195.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$106.47 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
267 |
263 |
$28.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
459 |
427 |
$1.07 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
104 |
103 |
$0.00 |