| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,646 |
1,550 |
$253K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
574 |
534 |
$157K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
138 |
112 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$4K |
| 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 |
120 |
89 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24 |
24 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
13 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
27 |
26 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
28 |
$1K |
| A0425 |
Ground mileage, per statute mile |
1,098 |
809 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
345 |
274 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
13 |
$772.18 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
32 |
27 |
$493.60 |
| 36415 |
Collection of venous blood by venipuncture |
292 |
255 |
$366.09 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
90 |
69 |
$269.37 |
| 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 |
35 |
29 |
$200.00 |
| 80053 |
Comprehensive metabolic panel |
519 |
474 |
$10.56 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
93 |
78 |
$8.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
891 |
814 |
$7.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
61 |
52 |
$0.00 |
| 94761 |
|
266 |
235 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
286 |
249 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
159 |
122 |
$0.00 |
| 86140 |
|
76 |
69 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
29 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
45 |
38 |
$0.00 |
| 83690 |
|
16 |
15 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
25 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
28 |
25 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
39 |
$0.00 |
| 83605 |
|
15 |
13 |
$0.00 |
| 82550 |
|
15 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
29 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$0.00 |
| 84484 |
|
14 |
12 |
$0.00 |
| 85610 |
|
42 |
37 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
67 |
53 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
92 |
76 |
$0.00 |
| 99152 |
|
14 |
12 |
$0.00 |