| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,634 |
10,822 |
$1.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,550 |
6,797 |
$1.30M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,797 |
1,562 |
$288K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,009 |
1,845 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
727 |
690 |
$51K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,754 |
1,651 |
$43K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,638 |
4,028 |
$34K |
| 84484 |
|
3,138 |
2,462 |
$19K |
| G0378 |
Hospital observation service, per hour |
107 |
92 |
$16K |
| 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 |
344 |
306 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,782 |
4,221 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
282 |
262 |
$12K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
54 |
41 |
$11K |
| 80053 |
Comprehensive metabolic panel |
5,464 |
4,842 |
$11K |
| 85027 |
|
3,558 |
3,125 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,000 |
3,421 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
292 |
251 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
334 |
328 |
$6K |
| 84703 |
|
1,358 |
1,274 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,562 |
1,370 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,049 |
894 |
$5K |
| 83690 |
|
1,352 |
1,221 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
924 |
837 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
2,511 |
2,248 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,459 |
2,147 |
$3K |
| 83880 |
|
565 |
471 |
$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 |
132 |
123 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
584 |
542 |
$2K |
| 87070 |
|
555 |
514 |
$2K |
| 83605 |
|
697 |
580 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,803 |
1,542 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
420 |
386 |
$1K |
| 81001 |
|
2,197 |
1,987 |
$1K |
| 83735 |
|
557 |
488 |
$943.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
25 |
$645.06 |
| 80076 |
|
265 |
249 |
$467.24 |
| 87040 |
|
176 |
106 |
$344.93 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30 |
27 |
$271.99 |
| 73562 |
|
13 |
12 |
$213.96 |
| 85379 |
|
30 |
27 |
$162.12 |
| 81003 |
|
415 |
379 |
$161.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
195 |
159 |
$131.10 |
| 85380 |
|
16 |
16 |
$97.86 |
| 85610 |
|
112 |
91 |
$77.30 |
| 96376 |
|
18 |
16 |
$32.10 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$25.62 |
| 82550 |
|
15 |
14 |
$25.42 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
78 |
67 |
$22.62 |
| 36415 |
Collection of venous blood by venipuncture |
144 |
105 |
$16.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
14 |
$1.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
778 |
703 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
271 |
226 |
$0.00 |
| 73630 |
|
15 |
12 |
$0.00 |
| 76000 |
|
39 |
27 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
16 |
14 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
2,548 |
1,907 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,404 |
1,242 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
600 |
500 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
71 |
66 |
$0.00 |
| A9270 |
Non-covered item or service |
371 |
270 |
$0.00 |
| J3490 |
Unclassified drugs |
265 |
211 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
33 |
24 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
160 |
143 |
$0.00 |
| 91301 |
|
18 |
13 |
$0.00 |
| 88304 |
|
15 |
14 |
$0.00 |