| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15,143 |
12,255 |
$3.00M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,237 |
15,045 |
$976K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,539 |
16,990 |
$669K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,262 |
2,960 |
$635K |
| 76376 |
|
9,456 |
7,646 |
$494K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,068 |
26,232 |
$233K |
| 80053 |
Comprehensive metabolic panel |
23,015 |
18,690 |
$197K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,274 |
3,640 |
$180K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,161 |
3,814 |
$159K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,271 |
1,901 |
$147K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,890 |
2,676 |
$109K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,862 |
3,581 |
$104K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,769 |
2,407 |
$104K |
| 87486 |
|
3,121 |
2,810 |
$94K |
| 87581 |
|
3,120 |
2,809 |
$94K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,121 |
2,810 |
$94K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,926 |
1,803 |
$87K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,413 |
6,693 |
$74K |
| 81001 |
|
17,590 |
14,856 |
$59K |
| 71045 |
Radiologic examination, chest; single view |
11,979 |
10,071 |
$54K |
| 84703 |
|
8,992 |
7,846 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
3,938 |
3,525 |
$41K |
| 87430 |
|
2,012 |
1,804 |
$31K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,300 |
1,195 |
$29K |
| 84484 |
|
4,440 |
2,886 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,545 |
2,160 |
$23K |
| 86762 |
|
1,086 |
1,001 |
$22K |
| 86592 |
|
3,512 |
3,244 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,032 |
970 |
$19K |
| 85610 |
|
5,367 |
4,278 |
$17K |
| 83020 |
|
926 |
853 |
$16K |
| 87340 |
|
1,092 |
1,007 |
$15K |
| 82105 |
|
702 |
663 |
$15K |
| 80061 |
Lipid panel |
1,407 |
1,224 |
$14K |
| 86850 |
|
1,837 |
1,593 |
$12K |
| 83735 |
|
2,456 |
1,947 |
$11K |
| 83690 |
|
2,415 |
1,898 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
78 |
$11K |
| 83655 |
|
709 |
671 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,273 |
1,120 |
$10K |
| 83880 |
|
540 |
446 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
499 |
297 |
$10K |
| 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 |
264 |
236 |
$9K |
| 85730 |
|
5,363 |
4,279 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,601 |
6,389 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,127 |
952 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
612 |
552 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
41 |
40 |
$6K |
| 85018 |
|
1,952 |
1,888 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
77 |
63 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
167 |
52 |
$6K |
| 85014 |
|
1,746 |
1,680 |
$6K |
| 82607 |
|
504 |
417 |
$5K |
| 86900 |
|
1,628 |
1,458 |
$5K |
| 86901 |
|
1,627 |
1,457 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,166 |
2,678 |
$5K |
| 0012A |
|
165 |
164 |
$4K |
| 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 |
346 |
310 |
$4K |
| 82947 |
|
935 |
844 |
$4K |
| 0011A |
|
205 |
202 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
208 |
151 |
$3K |
| 86756 |
|
164 |
149 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
687 |
537 |
$3K |
| 85379 |
|
407 |
332 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
495 |
449 |
$2K |
| 82746 |
|
352 |
284 |
$2K |
| 73562 |
|
118 |
73 |
$2K |
| 87040 |
|
252 |
202 |
$2K |
| 74022 |
|
165 |
133 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,595 |
1,178 |
$2K |
| 83550 |
|
341 |
283 |
$2K |
| 82728 |
|
328 |
270 |
$2K |
| 85027 |
|
351 |
321 |
$2K |
| 82805 |
|
86 |
63 |
$2K |
| 87400 |
|
362 |
319 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
37 |
$1K |
| 83540 |
|
341 |
283 |
$1K |
| 76818 |
|
26 |
14 |
$1K |
| 83605 |
|
147 |
110 |
$994.61 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
14 |
$864.81 |
| 87070 |
|
82 |
76 |
$856.10 |
| 86140 |
|
455 |
382 |
$806.89 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
219 |
185 |
$784.98 |
| 82043 |
|
183 |
172 |
$573.90 |
| 76801 |
|
28 |
25 |
$566.16 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$393.26 |
| 82247 |
|
88 |
76 |
$392.85 |
| 82248 |
|
115 |
98 |
$370.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$323.52 |
| J1790 |
Injection, droperidol, up to 5 mg |
32 |
31 |
$241.08 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
41 |
37 |
$226.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,844 |
1,396 |
$204.64 |
| 72170 |
|
12 |
12 |
$184.68 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
166 |
122 |
$182.14 |
| 80076 |
|
34 |
30 |
$167.20 |
| 85007 |
|
31 |
28 |
$164.64 |
| 84702 |
|
16 |
13 |
$156.24 |
| 72110 |
|
12 |
12 |
$139.12 |
| 87186 |
|
36 |
27 |
$131.43 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
276 |
214 |
$117.64 |
| 87077 |
|
35 |
27 |
$116.74 |
| 84439 |
|
18 |
14 |
$100.90 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
87 |
54 |
$92.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
139 |
97 |
$72.25 |
| 80069 |
|
15 |
15 |
$71.82 |
| 85660 |
|
13 |
12 |
$64.44 |
| 82570 |
|
14 |
14 |
$53.76 |
| 81003 |
|
14 |
13 |
$47.74 |
| 82150 |
|
27 |
13 |
$40.35 |
| 84156 |
|
14 |
14 |
$35.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,826 |
1,266 |
$33.55 |
| 36415 |
Collection of venous blood by venipuncture |
18,382 |
14,683 |
$24.33 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
12 |
$10.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
31 |
$8.85 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
22 |
12 |
$6.88 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
28 |
26 |
$5.84 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
29 |
$1.98 |
| J2704 |
Injection, propofol, 10 mg |
81 |
70 |
$0.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
50 |
42 |
$0.28 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,727 |
1,496 |
$0.19 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,306 |
1,182 |
$0.00 |
| 81025 |
|
36 |
33 |
$0.00 |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
275 |
255 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
36 |
36 |
$0.00 |
| A9270 |
Non-covered item or service |
674 |
458 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
150 |
133 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
174 |
154 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
27 |
26 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
126 |
83 |
$0.00 |
| 91301 |
|
171 |
169 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$0.00 |