| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,887 |
6,239 |
$398K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,364 |
3,387 |
$217K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,253 |
3,566 |
$210K |
| 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 |
1,336 |
1,084 |
$112K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
513 |
478 |
$73K |
| 80053 |
Comprehensive metabolic panel |
4,561 |
3,880 |
$57K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
236 |
219 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,682 |
4,045 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
293 |
239 |
$10K |
| 81001 |
|
2,081 |
1,846 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
182 |
150 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
343 |
291 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
162 |
48 |
$8K |
| 99070 |
|
926 |
863 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
534 |
516 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
8,832 |
7,264 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
370 |
311 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
28 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
166 |
147 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
153 |
123 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
75 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
297 |
246 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
56 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
98 |
95 |
$2K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
43 |
41 |
$1K |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
19 |
18 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
38 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
61 |
$922.13 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
142 |
129 |
$881.61 |
| 84484 |
|
72 |
55 |
$809.38 |
| 81025 |
|
64 |
59 |
$730.60 |
| 85610 |
|
186 |
130 |
$720.82 |
| 80061 |
Lipid panel |
53 |
48 |
$666.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
16 |
$645.88 |
| 83690 |
|
65 |
57 |
$586.07 |
| 83605 |
|
52 |
42 |
$584.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
29 |
$538.82 |
| 85027 |
|
61 |
51 |
$439.29 |
| 87184 |
|
40 |
34 |
$412.16 |
| 85730 |
|
46 |
42 |
$238.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
40 |
$149.61 |
| 83735 |
|
18 |
14 |
$142.29 |
| 87081 |
|
13 |
13 |
$138.37 |
| 84439 |
|
15 |
12 |
$120.07 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
92 |
82 |
$94.02 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
59 |
$75.10 |
| 85007 |
|
38 |
34 |
$68.32 |
| J2704 |
Injection, propofol, 10 mg |
451 |
373 |
$58.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
217 |
186 |
$23.68 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
35 |
30 |
$23.39 |
| 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 |
1,128 |
897 |
$6.48 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
18 |
14 |
$0.00 |
| 82607 |
|
25 |
25 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
17 |
14 |
$0.00 |