| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
10,243 |
9,021 |
$513K |
| J3490 |
Unclassified drugs |
6,457 |
4,189 |
$269K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,822 |
3,330 |
$224K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,797 |
2,597 |
$152K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,188 |
2,149 |
$128K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
522 |
507 |
$128K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,466 |
2,428 |
$117K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,562 |
2,291 |
$115K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,301 |
3,943 |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
877 |
856 |
$94K |
| 99199 |
Unlisted special service, procedure or report |
1,829 |
1,627 |
$91K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
693 |
657 |
$90K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,523 |
2,300 |
$67K |
| 99070 |
|
1,658 |
1,111 |
$61K |
| 0272 |
|
933 |
832 |
$56K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
243 |
239 |
$49K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,141 |
4,702 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,506 |
6,643 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
3,614 |
3,468 |
$44K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,626 |
3,143 |
$38K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,451 |
1,392 |
$36K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,069 |
918 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,267 |
1,118 |
$33K |
| 80053 |
Comprehensive metabolic panel |
2,301 |
2,167 |
$30K |
| 84484 |
|
2,918 |
2,623 |
$28K |
| 80076 |
|
3,371 |
3,160 |
$27K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
464 |
460 |
$25K |
| 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 |
411 |
386 |
$24K |
| 83880 |
|
1,055 |
1,024 |
$22K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
226 |
205 |
$21K |
| 83690 |
|
3,058 |
2,821 |
$20K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,730 |
1,587 |
$16K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
120 |
117 |
$15K |
| 84703 |
|
2,274 |
2,123 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
275 |
244 |
$12K |
| 83605 |
|
1,438 |
1,330 |
$12K |
| 81000 |
|
3,839 |
3,610 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,449 |
1,355 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,377 |
1,329 |
$8K |
| 83735 |
|
1,266 |
1,177 |
$6K |
| 87040 |
|
516 |
441 |
$5K |
| 87430 |
|
609 |
597 |
$5K |
| 87070 |
|
491 |
486 |
$5K |
| 0636 |
|
260 |
91 |
$3K |
| 85379 |
|
388 |
383 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
340 |
280 |
$3K |
| 86140 |
|
454 |
441 |
$3K |
| 85610 |
|
891 |
856 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
115 |
115 |
$2K |
| 0011A |
|
57 |
57 |
$2K |
| 85730 |
|
406 |
391 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
124 |
123 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
52 |
28 |
$954.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$830.65 |
| 82550 |
|
191 |
182 |
$828.48 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
93 |
84 |
$745.23 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
14 |
$733.52 |
| 87420 |
|
83 |
81 |
$665.55 |
| A9270 |
Non-covered item or service |
50 |
40 |
$555.25 |
| 94664 |
|
43 |
40 |
$504.88 |
| Z7502 |
|
13 |
13 |
$489.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$461.01 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$459.59 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
18 |
$430.48 |
| 0250 |
|
30 |
28 |
$403.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
14 |
$362.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$280.97 |
| 0270 |
|
101 |
68 |
$250.63 |
| 82962 |
|
88 |
56 |
$247.15 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$232.65 |
| 87186 |
|
25 |
24 |
$186.97 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
30 |
24 |
$155.87 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
13 |
$135.43 |
| 82553 |
|
13 |
12 |
$134.32 |
| 36415 |
Collection of venous blood by venipuncture |
1,879 |
1,597 |
$132.24 |
| 87077 |
|
25 |
24 |
$73.58 |
| 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 |
46 |
41 |
$2.21 |