| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,885 |
7,602 |
$1.37M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,538 |
3,395 |
$970K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,586 |
2,527 |
$242K |
| 80053 |
Comprehensive metabolic panel |
4,246 |
3,857 |
$207K |
| 71045 |
Radiologic examination, chest; single view |
1,713 |
1,589 |
$124K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,883 |
5,304 |
$119K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,463 |
2,400 |
$103K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
892 |
861 |
$101K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
661 |
591 |
$98K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,427 |
2,374 |
$90K |
| 81001 |
|
3,939 |
3,708 |
$59K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,440 |
3,327 |
$40K |
| 87634 |
|
310 |
300 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,134 |
969 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
158 |
152 |
$22K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
517 |
499 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
138 |
135 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
604 |
526 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
328 |
261 |
$5K |
| 84703 |
|
287 |
270 |
$5K |
| 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 |
118 |
109 |
$5K |
| 83690 |
|
319 |
292 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
26 |
$4K |
| 84484 |
|
460 |
305 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
269 |
238 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
179 |
165 |
$1K |
| 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 |
84 |
83 |
$917.10 |
| CP007 |
|
14 |
13 |
$654.24 |
| 85018 |
|
13 |
13 |
$328.50 |
| 88720 |
|
25 |
25 |
$273.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
279 |
256 |
$252.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$201.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$195.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
61 |
53 |
$193.73 |
| 83655 |
|
13 |
13 |
$189.16 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
28 |
26 |
$150.12 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$146.30 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
37 |
37 |
$121.68 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$73.48 |
| 83880 |
|
26 |
24 |
$53.79 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$46.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
38 |
$37.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$33.75 |
| 87040 |
|
73 |
36 |
$28.28 |
| 36415 |
Collection of venous blood by venipuncture |
1,071 |
931 |
$10.89 |
| 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 |
127 |
96 |
$9.30 |
| A9270 |
Non-covered item or service |
1,476 |
1,417 |
$2.41 |
| 83605 |
|
48 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
58 |
39 |
$0.00 |
| 80164 |
|
12 |
12 |
$0.00 |