| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,849 |
2,675 |
$506K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,090 |
2,947 |
$324K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,991 |
1,852 |
$252K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
422 |
406 |
$73K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,375 |
1,276 |
$37K |
| 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 |
468 |
447 |
$32K |
| 80053 |
Comprehensive metabolic panel |
3,087 |
2,922 |
$29K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
102 |
102 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,266 |
4,023 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
358 |
344 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
867 |
808 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
242 |
229 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,280 |
1,209 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
951 |
886 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
989 |
920 |
$8K |
| 84702 |
|
517 |
492 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
129 |
125 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,130 |
1,911 |
$7K |
| 84484 |
|
757 |
689 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
753 |
715 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
96 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
177 |
169 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$4K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
72 |
68 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
137 |
119 |
$4K |
| 81001 |
|
1,385 |
1,317 |
$4K |
| 83690 |
|
726 |
680 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
426 |
400 |
$3K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
232 |
225 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
58 |
19 |
$2K |
| 85730 |
|
423 |
389 |
$2K |
| 87040 |
|
99 |
92 |
$2K |
| 85379 |
|
180 |
170 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
202 |
168 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
281 |
264 |
$2K |
| 85610 |
|
553 |
480 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
97 |
95 |
$1K |
| 80076 |
|
203 |
188 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
561 |
504 |
$1K |
| 83605 |
|
191 |
175 |
$1K |
| 80051 |
|
210 |
194 |
$1K |
| 82565 |
|
215 |
200 |
$983.45 |
| 96376 |
|
27 |
25 |
$867.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,303 |
1,192 |
$849.83 |
| 84520 |
|
214 |
198 |
$838.84 |
| 82947 |
|
279 |
248 |
$809.65 |
| 73610 |
|
39 |
39 |
$764.17 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$684.80 |
| 73630 |
|
56 |
55 |
$639.57 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$533.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,393 |
2,138 |
$484.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
64 |
62 |
$451.69 |
| 83735 |
|
133 |
106 |
$451.69 |
| 87077 |
|
56 |
55 |
$383.31 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,070 |
1,874 |
$379.74 |
| 80061 |
Lipid panel |
29 |
27 |
$347.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
664 |
635 |
$310.36 |
| 83880 |
|
12 |
12 |
$237.13 |
| 87186 |
|
29 |
28 |
$234.40 |
| 86140 |
|
62 |
57 |
$155.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$128.31 |
| 81025 |
|
25 |
25 |
$89.00 |
| 82248 |
|
12 |
12 |
$67.91 |
| 86901 |
|
17 |
17 |
$61.51 |
| 86900 |
|
17 |
17 |
$60.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
101 |
$28.84 |
| 81003 |
|
21 |
20 |
$26.36 |
| A9270 |
Non-covered item or service |
28 |
12 |
$15.55 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
230 |
198 |
$14.14 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
29 |
27 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
46 |
44 |
$0.00 |