| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,726 |
13,631 |
$4.08M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,499 |
29,961 |
$1.38M |
| 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 |
9,568 |
6,937 |
$467K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,622 |
2,394 |
$454K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,243 |
1,199 |
$204K |
| 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 |
8,959 |
6,365 |
$174K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,247 |
3,140 |
$157K |
| 80053 |
Comprehensive metabolic panel |
17,621 |
15,616 |
$150K |
| 71045 |
Radiologic examination, chest; single view |
4,690 |
4,373 |
$148K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,491 |
16,257 |
$118K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,472 |
4,033 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,310 |
3,232 |
$82K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,595 |
3,909 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
321 |
316 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
16 |
12 |
$25K |
| 87070 |
|
1,675 |
1,656 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
751 |
692 |
$15K |
| 81001 |
|
5,950 |
5,410 |
$14K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
33 |
29 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
128 |
113 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
424 |
207 |
$10K |
| 83690 |
|
2,132 |
1,941 |
$10K |
| 87430 |
|
262 |
255 |
$7K |
| 84484 |
|
2,120 |
1,601 |
$6K |
| 76830 |
Ultrasound, transvaginal |
57 |
53 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,937 |
1,751 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
15 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,777 |
2,672 |
$4K |
| 84702 |
|
302 |
236 |
$3K |
| 87428 |
|
99 |
99 |
$3K |
| 83880 |
|
726 |
652 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,774 |
1,677 |
$2K |
| 87081 |
|
193 |
186 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
155 |
152 |
$2K |
| 84703 |
|
273 |
251 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,657 |
1,449 |
$1K |
| 81025 |
|
174 |
166 |
$1K |
| 83735 |
|
906 |
774 |
$916.52 |
| 94760 |
|
147 |
135 |
$909.73 |
| 80061 |
Lipid panel |
2,115 |
2,028 |
$899.93 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
67 |
59 |
$894.73 |
| 82550 |
|
274 |
250 |
$845.14 |
| 83605 |
|
438 |
407 |
$830.30 |
| 86900 |
|
420 |
381 |
$649.21 |
| 81003 |
|
698 |
654 |
$567.29 |
| 88300 |
|
27 |
27 |
$566.46 |
| 86901 |
|
407 |
369 |
$523.84 |
| 87077 |
|
601 |
564 |
$453.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,595 |
1,526 |
$450.29 |
| 0240U |
|
271 |
264 |
$411.27 |
| 87186 |
|
552 |
520 |
$383.32 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
29 |
$356.74 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
303 |
83 |
$325.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
50 |
$289.66 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
26 |
$213.76 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
590 |
552 |
$213.47 |
| 84100 |
|
441 |
369 |
$168.97 |
| 85610 |
|
375 |
321 |
$155.13 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
363 |
345 |
$150.67 |
| G0008 |
Administration of influenza virus vaccine |
168 |
167 |
$143.43 |
| 86850 |
|
16 |
14 |
$140.85 |
| 82728 |
|
196 |
180 |
$137.40 |
| 84550 |
|
303 |
252 |
$133.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
322 |
298 |
$125.41 |
| 51701 |
|
14 |
14 |
$123.02 |
| 87040 |
|
42 |
39 |
$121.38 |
| 82248 |
|
142 |
116 |
$118.50 |
| 83615 |
|
142 |
114 |
$101.40 |
| 82247 |
|
23 |
13 |
$84.40 |
| 85730 |
|
122 |
112 |
$80.30 |
| 83540 |
|
117 |
107 |
$65.16 |
| 85027 |
|
141 |
129 |
$65.16 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
116 |
104 |
$42.58 |
| 83550 |
|
43 |
39 |
$36.70 |
| 83970 |
|
12 |
12 |
$34.68 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
401 |
165 |
$23.46 |
| 84439 |
|
100 |
95 |
$22.74 |
| 90686 |
|
24 |
24 |
$11.80 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$9.90 |
| 36415 |
Collection of venous blood by venipuncture |
6,007 |
5,059 |
$6.79 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
93 |
93 |
$0.00 |
| 82565 |
|
12 |
12 |
$0.00 |
| 90662 |
|
58 |
58 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
80 |
80 |
$0.00 |
| 82962 |
|
439 |
314 |
$0.00 |
| 82043 |
|
145 |
135 |
$0.00 |
| 0031A |
|
21 |
21 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
25 |
$0.00 |