| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,300 |
4,705 |
$1.07M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,256 |
9,309 |
$639K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,288 |
12,197 |
$508K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,817 |
3,508 |
$157K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,092 |
3,869 |
$133K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,700 |
4,425 |
$102K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,045 |
3,372 |
$94K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,752 |
1,568 |
$90K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,443 |
8,223 |
$69K |
| 80053 |
Comprehensive metabolic panel |
7,623 |
6,662 |
$69K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
974 |
880 |
$55K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,855 |
3,102 |
$45K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
266 |
231 |
$42K |
| 87449 |
|
2,561 |
2,432 |
$39K |
| 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 |
474 |
433 |
$27K |
| 81001 |
|
8,021 |
7,158 |
$27K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
192 |
97 |
$26K |
| 85027 |
|
4,592 |
4,183 |
$24K |
| 97597 |
|
2,274 |
898 |
$23K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
59 |
56 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
413 |
351 |
$21K |
| 86762 |
|
903 |
852 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,298 |
2,034 |
$18K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,011 |
685 |
$16K |
| 83020 |
|
863 |
818 |
$15K |
| 86592 |
|
2,246 |
2,119 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,990 |
2,701 |
$13K |
| 87340 |
|
903 |
852 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
326 |
300 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
282 |
239 |
$11K |
| 82728 |
|
975 |
913 |
$10K |
| 88142 |
|
339 |
324 |
$9K |
| 86850 |
|
1,426 |
1,282 |
$9K |
| 86701 |
|
709 |
677 |
$8K |
| 82950 |
|
1,102 |
1,010 |
$7K |
| 87070 |
|
896 |
812 |
$7K |
| 81025 |
|
1,613 |
1,461 |
$5K |
| 84484 |
|
1,019 |
875 |
$5K |
| 89230 |
|
421 |
401 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
174 |
158 |
$5K |
| G0378 |
Hospital observation service, per hour |
149 |
108 |
$4K |
| 86803 |
|
241 |
221 |
$4K |
| 86901 |
|
1,517 |
1,253 |
$4K |
| 87186 |
|
506 |
437 |
$4K |
| 86900 |
|
1,388 |
1,252 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
134 |
117 |
$4K |
| 83690 |
|
624 |
574 |
$3K |
| 84144 |
|
208 |
199 |
$3K |
| 87807 |
|
231 |
220 |
$3K |
| 0002A |
|
78 |
73 |
$3K |
| 0001A |
|
74 |
70 |
$2K |
| 87634 |
|
42 |
38 |
$2K |
| 82150 |
|
386 |
360 |
$2K |
| 83735 |
|
380 |
338 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
81 |
80 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
72 |
51 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
135 |
130 |
$1K |
| 83615 |
|
204 |
159 |
$1K |
| 84550 |
|
204 |
158 |
$1K |
| 83605 |
|
142 |
136 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
380 |
354 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,436 |
1,303 |
$1K |
| 43249 |
|
13 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
226 |
171 |
$970.80 |
| 82570 |
|
156 |
118 |
$917.00 |
| 84156 |
|
237 |
130 |
$911.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,394 |
3,050 |
$827.13 |
| 84439 |
|
68 |
67 |
$731.34 |
| 80061 |
Lipid panel |
45 |
43 |
$680.55 |
| 85610 |
|
230 |
211 |
$513.53 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
118 |
84 |
$493.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
631 |
581 |
$486.53 |
| 84681 |
|
39 |
37 |
$433.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
30 |
$381.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
40 |
$323.52 |
| 87081 |
|
24 |
24 |
$320.40 |
| 87205 |
|
257 |
215 |
$295.35 |
| 82105 |
|
13 |
12 |
$242.11 |
| 74022 |
|
13 |
12 |
$228.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
759 |
661 |
$212.75 |
| 85730 |
|
187 |
172 |
$210.24 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
534 |
483 |
$187.00 |
| 82550 |
|
29 |
29 |
$182.40 |
| 82947 |
|
34 |
30 |
$180.12 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
466 |
415 |
$180.00 |
| 73564 |
|
19 |
14 |
$150.40 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
363 |
322 |
$143.00 |
| 82553 |
|
12 |
12 |
$102.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
24 |
$99.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$89.80 |
| 87040 |
|
14 |
12 |
$70.77 |
| 85379 |
|
12 |
12 |
$67.38 |
| 87077 |
|
17 |
15 |
$17.96 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
198 |
$7.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$6.48 |
| A9270 |
Non-covered item or service |
92 |
64 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
26 |
$0.00 |
| 81511 |
|
15 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
44 |
38 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,746 |
3,089 |
$0.00 |
| 0598T |
|
112 |
43 |
$0.00 |