| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,519 |
4,880 |
$368K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,302 |
5,279 |
$310K |
| G0378 |
Hospital observation service, per hour |
4,357 |
2,378 |
$216K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,485 |
1,950 |
$201K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,505 |
3,500 |
$146K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,054 |
6,669 |
$117K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,039 |
885 |
$111K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,270 |
1,311 |
$85K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,411 |
1,707 |
$77K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
647 |
515 |
$64K |
| 80053 |
Comprehensive metabolic panel |
6,722 |
4,227 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,843 |
9,726 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
559 |
528 |
$33K |
| 82962 |
|
3,380 |
1,132 |
$31K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,326 |
2,319 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
264 |
$26K |
| A9270 |
Non-covered item or service |
2,831 |
796 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,813 |
4,117 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
6,488 |
3,717 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,069 |
3,192 |
$20K |
| 86900 |
|
1,653 |
1,185 |
$18K |
| 84484 |
|
4,215 |
2,635 |
$16K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
892 |
744 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,093 |
2,511 |
$12K |
| 86850 |
|
1,170 |
790 |
$12K |
| 85027 |
|
3,823 |
2,357 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,853 |
1,894 |
$11K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,083 |
2,121 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,128 |
941 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,359 |
654 |
$9K |
| 81001 |
|
2,878 |
2,324 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
534 |
273 |
$9K |
| 82728 |
|
649 |
509 |
$8K |
| 82550 |
|
3,674 |
2,720 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
52 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,490 |
1,998 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,961 |
3,075 |
$8K |
| 83540 |
|
640 |
503 |
$8K |
| 82553 |
|
3,183 |
2,406 |
$8K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
490 |
279 |
$8K |
| 83735 |
|
3,351 |
1,670 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,578 |
1,185 |
$7K |
| 85610 |
|
4,062 |
2,759 |
$7K |
| 80061 |
Lipid panel |
2,829 |
2,259 |
$6K |
| 84100 |
|
1,631 |
804 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,570 |
1,959 |
$5K |
| 83550 |
|
514 |
405 |
$5K |
| 85730 |
|
3,339 |
2,482 |
$5K |
| 87077 |
|
1,958 |
1,246 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,839 |
1,405 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,945 |
1,404 |
$4K |
| 87040 |
|
1,313 |
711 |
$3K |
| 82607 |
|
609 |
474 |
$3K |
| 97161 |
|
437 |
307 |
$3K |
| 80076 |
|
2,381 |
1,847 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
431 |
406 |
$3K |
| 83615 |
|
131 |
93 |
$3K |
| 96376 |
|
1,649 |
762 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
550 |
117 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
40 |
34 |
$2K |
| 83690 |
|
1,723 |
1,449 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
388 |
323 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
164 |
120 |
$2K |
| 84703 |
|
1,582 |
1,428 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
749 |
560 |
$2K |
| C1769 |
Guide wire |
39 |
29 |
$2K |
| 83880 |
|
1,418 |
1,089 |
$2K |
| 87186 |
|
1,182 |
875 |
$2K |
| 86901 |
|
1,653 |
1,186 |
$2K |
| 87081 |
|
223 |
212 |
$2K |
| 94664 |
|
306 |
242 |
$2K |
| 87070 |
|
266 |
204 |
$1K |
| 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 |
40 |
36 |
$1K |
| 82746 |
|
171 |
132 |
$1K |
| 84238 |
|
32 |
24 |
$1K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
41 |
35 |
$1K |
| 81003 |
|
463 |
400 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
48 |
39 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
323 |
239 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
684 |
556 |
$1K |
| 82150 |
|
952 |
816 |
$955.50 |
| 82565 |
|
330 |
251 |
$822.13 |
| 76641 |
|
37 |
26 |
$819.35 |
| 76830 |
Ultrasound, transvaginal |
41 |
38 |
$672.72 |
| 87205 |
|
273 |
208 |
$473.27 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$409.22 |
| 83605 |
|
277 |
189 |
$349.52 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
13 |
$332.16 |
| 86140 |
|
176 |
121 |
$325.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
184 |
115 |
$297.08 |
| 84702 |
|
149 |
129 |
$239.65 |
| 87430 |
|
263 |
249 |
$234.70 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
134 |
109 |
$220.14 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
116 |
95 |
$152.82 |
| 71250 |
|
85 |
67 |
$100.26 |
| 85652 |
|
336 |
225 |
$97.78 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
32 |
29 |
$63.24 |
| 93971 |
|
19 |
14 |
$40.48 |
| 85379 |
|
73 |
69 |
$25.18 |
| 84436 |
|
37 |
28 |
$18.31 |
| 84439 |
|
15 |
15 |
$10.14 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
15 |
12 |
$5.09 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
31 |
26 |
$0.65 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
49 |
37 |
$0.00 |
| 84479 |
|
15 |
12 |
$0.00 |
| 87420 |
|
30 |
29 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
41 |
13 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
13 |
$0.00 |