| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,019 |
1,939 |
$611K |
| 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 |
3,680 |
3,009 |
$166K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,217 |
3,053 |
$65K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
548 |
520 |
$48K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,460 |
2,854 |
$28K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
125 |
108 |
$25K |
| 99215 |
Prolong outpt/office vis |
122 |
119 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
26 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
532 |
256 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,259 |
1,219 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,052 |
1,025 |
$7K |
| 0012A |
|
305 |
305 |
$6K |
| 0002A |
|
250 |
250 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
258 |
248 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
125 |
108 |
$5K |
| 87541 |
|
123 |
107 |
$5K |
| 87640 |
|
125 |
108 |
$5K |
| 87581 |
|
127 |
108 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
84 |
68 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
253 |
222 |
$5K |
| 87486 |
|
118 |
101 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
157 |
150 |
$5K |
| 69210 |
|
15 |
12 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
125 |
108 |
$5K |
| 0001A |
|
316 |
315 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
46 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
315 |
251 |
$4K |
| 80061 |
Lipid panel |
346 |
339 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
234 |
229 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
150 |
146 |
$3K |
| 92567 |
|
17 |
17 |
$3K |
| 88304 |
|
14 |
13 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
285 |
278 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$2K |
| 80074 |
|
97 |
94 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
534 |
392 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
42 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
356 |
348 |
$896.09 |
| 81003 |
|
376 |
364 |
$598.93 |
| 84550 |
|
206 |
201 |
$509.15 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
46 |
45 |
$466.05 |
| A4663 |
Blood pressure cuff only |
16 |
13 |
$359.46 |
| 82043 |
|
38 |
38 |
$336.00 |
| 82570 |
|
38 |
38 |
$300.95 |
| 0011A |
|
88 |
87 |
$282.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
101 |
97 |
$174.45 |
| 84436 |
|
25 |
25 |
$172.59 |
| 84439 |
|
15 |
15 |
$160.30 |
| 81025 |
|
13 |
12 |
$160.15 |
| 80306 |
|
14 |
13 |
$85.02 |
| 84479 |
|
45 |
45 |
$82.00 |
| 92504 |
|
16 |
12 |
$23.30 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
16 |
13 |
$19.79 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
26 |
25 |
$6.50 |
| 0003A |
|
15 |
15 |
$0.00 |
| 84156 |
|
14 |
14 |
$0.00 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
31 |
30 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
279 |
251 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
31 |
29 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.00 |
| 84480 |
|
13 |
13 |
$0.00 |