| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,180 |
3,872 |
$406K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,608 |
2,511 |
$188K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
871 |
816 |
$116K |
| 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 |
1,108 |
1,072 |
$88K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
86 |
85 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,462 |
1,367 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
174 |
169 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
353 |
334 |
$27K |
| G0378 |
Hospital observation service, per hour |
50 |
24 |
$25K |
| 80053 |
Comprehensive metabolic panel |
2,558 |
2,325 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
938 |
858 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,476 |
3,113 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
242 |
220 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
259 |
245 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
684 |
604 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
703 |
110 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,087 |
983 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
977 |
899 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
231 |
230 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
858 |
800 |
$5K |
| 83880 |
|
231 |
216 |
$5K |
| 84484 |
|
584 |
514 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
184 |
180 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
95 |
95 |
$3K |
| 81001 |
|
1,342 |
1,252 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
455 |
439 |
$3K |
| 80061 |
Lipid panel |
268 |
261 |
$3K |
| 73630 |
|
309 |
265 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
100 |
93 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
81 |
77 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
244 |
218 |
$2K |
| 83690 |
|
556 |
512 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
201 |
53 |
$2K |
| 73610 |
|
132 |
123 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
164 |
157 |
$2K |
| 84703 |
|
194 |
186 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
326 |
310 |
$2K |
| 83735 |
|
320 |
294 |
$2K |
| 85730 |
|
237 |
226 |
$1K |
| 80050 |
General health panel |
29 |
29 |
$1K |
| 87077 |
|
232 |
217 |
$1K |
| 87186 |
|
196 |
183 |
$1K |
| 84439 |
|
180 |
175 |
$1K |
| 85610 |
|
494 |
427 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
228 |
218 |
$1K |
| 87040 |
|
61 |
55 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
29 |
28 |
$1K |
| 84702 |
|
59 |
53 |
$942.42 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
27 |
$886.28 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
733 |
677 |
$863.34 |
| 85379 |
|
91 |
88 |
$777.51 |
| 76536 |
|
13 |
12 |
$738.86 |
| 83605 |
|
117 |
111 |
$715.60 |
| 80076 |
|
98 |
93 |
$652.96 |
| 80329 |
|
45 |
44 |
$614.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,287 |
1,184 |
$563.82 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$538.96 |
| 82962 |
|
339 |
227 |
$536.60 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
15 |
15 |
$449.37 |
| 73130 |
|
34 |
29 |
$338.78 |
| 82803 |
|
12 |
12 |
$323.53 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
153 |
117 |
$285.36 |
| 85027 |
|
54 |
52 |
$259.55 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
24 |
24 |
$257.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
307 |
285 |
$256.94 |
| 87081 |
|
39 |
39 |
$214.76 |
| 87430 |
|
31 |
31 |
$206.01 |
| 85652 |
|
73 |
69 |
$190.82 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
695 |
624 |
$136.50 |
| 81025 |
|
47 |
44 |
$135.60 |
| 73030 |
|
13 |
12 |
$87.75 |
| 87070 |
|
19 |
15 |
$84.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
55 |
$67.74 |
| 87205 |
|
19 |
15 |
$61.85 |
| J3490 |
Unclassified drugs |
41 |
27 |
$42.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
127 |
106 |
$31.04 |
| J2060 |
Injection, lorazepam, 2 mg |
96 |
86 |
$15.79 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
12 |
$5.76 |
| 36415 |
Collection of venous blood by venipuncture |
540 |
389 |
$2.95 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
40 |
34 |
$2.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
48 |
41 |
$0.00 |