| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,344 |
5,234 |
$699K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,486 |
1,425 |
$597K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
257 |
245 |
$131K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,858 |
1,906 |
$52K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,708 |
1,670 |
$33K |
| 80053 |
Comprehensive metabolic panel |
961 |
881 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
165 |
155 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,320 |
1,215 |
$7K |
| 81001 |
|
676 |
647 |
$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 |
137 |
135 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
74 |
70 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
216 |
$1K |
| 87807 |
|
135 |
132 |
$1K |
| 83735 |
|
66 |
61 |
$1K |
| 83690 |
|
90 |
84 |
$943.95 |
| 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 |
137 |
135 |
$893.93 |
| 81025 |
|
44 |
42 |
$442.25 |
| 87070 |
|
64 |
63 |
$200.61 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
25 |
$165.39 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$157.74 |
| 84484 |
|
26 |
25 |
$149.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$103.73 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$25.07 |