| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,533 |
1,184 |
$234K |
| 80053 |
Comprehensive metabolic panel |
3,658 |
2,903 |
$167K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,601 |
4,431 |
$164K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,531 |
332 |
$128K |
| J3490 |
Unclassified drugs |
5,966 |
1,217 |
$91K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
825 |
699 |
$84K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
744 |
607 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,390 |
703 |
$58K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,010 |
2,085 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,234 |
1,185 |
$43K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
621 |
439 |
$39K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,301 |
1,259 |
$39K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
217 |
174 |
$37K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,020 |
847 |
$36K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
91 |
74 |
$35K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
524 |
296 |
$25K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,275 |
1,182 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
2,780 |
2,206 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
954 |
876 |
$18K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
408 |
274 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
287 |
233 |
$17K |
| 80061 |
Lipid panel |
593 |
580 |
$16K |
| 81001 |
|
1,169 |
998 |
$16K |
| 81003 |
|
735 |
648 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
859 |
666 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
549 |
538 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
104 |
74 |
$10K |
| 87807 |
|
160 |
152 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
170 |
149 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
75 |
70 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
167 |
97 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
199 |
177 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
70 |
66 |
$7K |
| 86140 |
|
241 |
186 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
261 |
236 |
$7K |
| 84439 |
|
144 |
138 |
$4K |
| 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 |
89 |
80 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
46 |
39 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
40 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
81 |
$2K |
| 97161 |
|
40 |
38 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
36 |
27 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$1K |
| 83735 |
|
51 |
38 |
$1K |
| 81025 |
|
39 |
38 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
14 |
12 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
38 |
$441.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$439.04 |
| 87186 |
|
13 |
13 |
$231.20 |
| 85027 |
|
13 |
12 |
$165.90 |
| 87077 |
|
14 |
13 |
$163.20 |
| 85610 |
|
13 |
12 |
$158.96 |
| 11721 |
|
23 |
12 |
$106.18 |
| A9270 |
Non-covered item or service |
391 |
43 |
$85.73 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
32 |
15 |
$45.28 |