| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,034 |
2,852 |
$258K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,813 |
1,694 |
$226K |
| 80053 |
Comprehensive metabolic panel |
3,965 |
3,648 |
$189K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,226 |
2,134 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,292 |
4,729 |
$105K |
| 36415 |
Collection of venous blood by venipuncture |
8,186 |
7,036 |
$71K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
376 |
331 |
$66K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
715 |
690 |
$42K |
| 86328 |
|
1,451 |
1,402 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,742 |
1,019 |
$38K |
| 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 |
530 |
506 |
$30K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
540 |
510 |
$30K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
751 |
729 |
$9K |
| 86140 |
|
348 |
309 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
152 |
149 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
196 |
164 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
108 |
104 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
107 |
99 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
60 |
52 |
$4K |
| 84484 |
|
92 |
62 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
123 |
118 |
$3K |
| 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 |
206 |
197 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
39 |
37 |
$2K |
| 86710 |
|
40 |
40 |
$1K |
| 81001 |
|
95 |
86 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
27 |
$1K |
| 87400 |
|
40 |
40 |
$962.15 |
| 87430 |
|
31 |
30 |
$888.72 |
| 36000 |
|
108 |
102 |
$821.87 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
15 |
13 |
$565.52 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
22 |
14 |
$543.62 |
| 80061 |
Lipid panel |
12 |
12 |
$481.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
32 |
$393.51 |
| 84439 |
|
12 |
12 |
$366.48 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
84 |
69 |
$330.41 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
84 |
69 |
$318.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$318.09 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$269.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
12 |
$214.42 |
| 81025 |
|
13 |
12 |
$165.28 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
25 |
24 |
$151.38 |
| J7642 |
Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
12 |
12 |
$65.12 |
| 81003 |
|
12 |
12 |
$61.54 |
| 81015 |
|
27 |
25 |
$37.14 |