| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,531 |
11,923 |
$2.26M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,567 |
12,694 |
$2.09M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,601 |
3,141 |
$1.18M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,934 |
5,299 |
$457K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,835 |
2,789 |
$404K |
| 80053 |
Comprehensive metabolic panel |
5,521 |
5,463 |
$68K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,043 |
1,941 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
285 |
283 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,285 |
1,643 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,428 |
6,330 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
820 |
815 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,786 |
1,777 |
$30K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
421 |
420 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
191 |
190 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,781 |
1,758 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
181 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
478 |
477 |
$7K |
| 83690 |
|
1,053 |
1,044 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
405 |
400 |
$6K |
| 84484 |
|
478 |
436 |
$5K |
| 81025 |
|
593 |
591 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$4K |
| 81001 |
|
1,250 |
1,242 |
$4K |
| 82550 |
|
600 |
594 |
$3K |
| 83735 |
|
500 |
497 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
25 |
$3K |
| 87081 |
|
417 |
416 |
$3K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
39 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
538 |
535 |
$2K |
| 87807 |
|
186 |
184 |
$2K |
| 83605 |
|
194 |
179 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$1K |
| 81003 |
|
185 |
183 |
$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 |
39 |
39 |
$878.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
968 |
965 |
$624.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
508 |
495 |
$427.88 |
| 83880 |
|
12 |
12 |
$419.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
56 |
55 |
$387.63 |
| 85730 |
|
71 |
70 |
$379.85 |
| 85610 |
|
71 |
70 |
$271.22 |
| 84703 |
|
41 |
41 |
$260.91 |
| 73130 |
|
13 |
12 |
$230.00 |
| 85027 |
|
32 |
31 |
$178.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
592 |
586 |
$164.64 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
13 |
$107.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
50 |
50 |
$105.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
26 |
25 |
$26.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$5.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
32 |
$0.00 |
| 94761 |
|
85 |
85 |
$0.00 |