| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
7,805 |
7,384 |
$1.95M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,287 |
4,918 |
$963K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,061 |
5,762 |
$907K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,311 |
8,782 |
$782K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,493 |
16,090 |
$749K |
| 80053 |
Comprehensive metabolic panel |
16,069 |
14,911 |
$709K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,718 |
4,415 |
$512K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,549 |
4,198 |
$171K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,781 |
3,702 |
$96K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,046 |
1,009 |
$78K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
599 |
568 |
$72K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
261 |
231 |
$72K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,801 |
1,650 |
$71K |
| 71045 |
Radiologic examination, chest; single view |
1,226 |
1,144 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
470 |
$53K |
| X4003 |
|
993 |
900 |
$52K |
| G0378 |
Hospital observation service, per hour |
90 |
63 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
964 |
955 |
$37K |
| 87400 |
|
513 |
489 |
$37K |
| 87081 |
|
484 |
479 |
$32K |
| 84484 |
|
2,393 |
1,918 |
$29K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
310 |
295 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,003 |
972 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
40 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
38 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
985 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
350 |
328 |
$13K |
| 81025 |
|
26 |
26 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
91 |
90 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
863 |
830 |
$10K |
| 81001 |
|
504 |
473 |
$9K |
| 83690 |
|
887 |
826 |
$6K |
| 87428 |
|
226 |
221 |
$6K |
| 83735 |
|
87 |
77 |
$6K |
| 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 |
454 |
443 |
$5K |
| 84703 |
|
974 |
931 |
$5K |
| 73030 |
|
99 |
97 |
$4K |
| J3490 |
Unclassified drugs |
143 |
36 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
24 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
28 |
26 |
$2K |
| 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 |
403 |
392 |
$2K |
| 0240U |
|
14 |
14 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$960.57 |
| 83605 |
|
94 |
84 |
$564.52 |
| 76818 |
|
22 |
12 |
$61.27 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$54.31 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$27.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
12 |
$0.00 |