| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,592 |
18,366 |
$2.42M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,518 |
6,956 |
$1.29M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
11,426 |
10,782 |
$822K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
761 |
720 |
$366K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,056 |
932 |
$266K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,199 |
6,671 |
$171K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,728 |
1,623 |
$100K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23,218 |
21,113 |
$88K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,430 |
3,232 |
$72K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,505 |
4,193 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,522 |
2,359 |
$39K |
| 80053 |
Comprehensive metabolic panel |
13,928 |
12,698 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
4,409 |
4,075 |
$34K |
| 84484 |
|
3,029 |
2,698 |
$33K |
| 87276 |
|
4,092 |
3,869 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,291 |
1,203 |
$22K |
| 80306 |
|
1,450 |
1,237 |
$22K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,437 |
2,285 |
$17K |
| 87275 |
|
4,095 |
3,871 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
675 |
584 |
$16K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,659 |
3,254 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,694 |
6,184 |
$15K |
| 81001 |
|
14,763 |
13,549 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,441 |
1,132 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,301 |
2,142 |
$11K |
| 83690 |
|
3,484 |
3,253 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,838 |
7,179 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
270 |
243 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
808 |
772 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
100 |
53 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,136 |
1,991 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
87 |
$4K |
| G0378 |
Hospital observation service, per hour |
18 |
15 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
51 |
$4K |
| 83605 |
|
765 |
704 |
$4K |
| 87081 |
|
565 |
540 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
223 |
197 |
$3K |
| 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 |
37 |
35 |
$3K |
| 87040 |
|
226 |
204 |
$2K |
| 95816 |
|
15 |
13 |
$2K |
| 85610 |
|
1,365 |
1,250 |
$2K |
| 97602 |
|
179 |
79 |
$2K |
| 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 |
17 |
15 |
$1K |
| 81025 |
|
399 |
363 |
$1K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
94 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
543 |
461 |
$1K |
| 74018 |
|
26 |
24 |
$1K |
| 87807 |
|
120 |
118 |
$801.49 |
| 82077 |
|
215 |
196 |
$731.22 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
13 |
$603.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
545 |
491 |
$513.99 |
| 85730 |
|
153 |
142 |
$417.63 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
178 |
166 |
$402.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
280 |
251 |
$402.00 |
| 87186 |
|
42 |
39 |
$372.59 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
54 |
$364.38 |
| 82784 |
|
16 |
14 |
$356.74 |
| 83735 |
|
144 |
123 |
$294.36 |
| 81003 |
|
502 |
386 |
$269.54 |
| 85027 |
|
60 |
57 |
$205.56 |
| 84703 |
|
85 |
74 |
$201.11 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
88 |
69 |
$181.74 |
| 82550 |
|
79 |
74 |
$175.40 |
| 82785 |
|
14 |
12 |
$154.64 |
| 87077 |
|
45 |
41 |
$152.90 |
| 72100 |
|
15 |
15 |
$123.12 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
121 |
79 |
$111.73 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
95 |
76 |
$103.12 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
106 |
86 |
$96.87 |
| 86364 |
|
14 |
14 |
$96.34 |
| 86140 |
|
41 |
38 |
$85.49 |
| J1980 |
Injection, hyoscyamine sulfate, up to 0.25 mg |
14 |
13 |
$64.52 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
50 |
36 |
$63.20 |
| 86003 |
|
14 |
12 |
$53.06 |
| 84439 |
|
15 |
13 |
$41.52 |
| 82150 |
|
14 |
13 |
$36.86 |
| 85652 |
|
16 |
14 |
$31.17 |
| 86200 |
|
14 |
13 |
$15.18 |
| 86431 |
|
26 |
24 |
$13.20 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
70 |
53 |
$8.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,045 |
2,810 |
$1.10 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
44 |
40 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
31 |
26 |
$0.00 |
| A9270 |
Non-covered item or service |
6,054 |
2,905 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
226 |
214 |
$0.00 |
| 29581 |
|
45 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
12 |
$0.00 |