| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,479 |
6,832 |
$1.80M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,837 |
17,319 |
$1.26M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,882 |
20,268 |
$882K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,161 |
16,449 |
$148K |
| 80053 |
Comprehensive metabolic panel |
15,739 |
12,919 |
$145K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,841 |
1,576 |
$64K |
| 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 |
1,168 |
1,123 |
$54K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
331 |
149 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
883 |
635 |
$51K |
| 87449 |
|
3,984 |
3,436 |
$51K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
901 |
692 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,033 |
732 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,805 |
2,933 |
$32K |
| 81001 |
|
8,024 |
6,644 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
4,228 |
3,508 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,536 |
1,366 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,239 |
1,795 |
$20K |
| 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 |
993 |
967 |
$16K |
| 87070 |
|
1,586 |
1,401 |
$16K |
| 87634 |
|
360 |
292 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
564 |
155 |
$13K |
| 62322 |
|
73 |
58 |
$9K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
395 |
153 |
$9K |
| D9420 |
|
30 |
26 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
44 |
37 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,289 |
2,107 |
$7K |
| 84484 |
|
938 |
699 |
$7K |
| 82553 |
|
628 |
456 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
812 |
617 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,196 |
7,240 |
$4K |
| 86756 |
|
238 |
209 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
26 |
$4K |
| 87430 |
|
262 |
233 |
$3K |
| 83735 |
|
689 |
537 |
$3K |
| 81025 |
|
1,144 |
855 |
$3K |
| 84702 |
|
247 |
205 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 87088 |
|
310 |
257 |
$2K |
| 82550 |
|
453 |
302 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
64 |
54 |
$2K |
| 83690 |
|
394 |
315 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
115 |
95 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,499 |
2,793 |
$2K |
| 88307 |
|
49 |
41 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
35 |
27 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
37 |
32 |
$991.07 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
559 |
437 |
$982.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
843 |
728 |
$774.46 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,209 |
1,817 |
$634.74 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
184 |
151 |
$501.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,385 |
1,681 |
$399.44 |
| 83880 |
|
16 |
14 |
$391.44 |
| 82247 |
|
122 |
101 |
$316.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
26 |
$283.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
177 |
129 |
$247.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
196 |
106 |
$182.41 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
99 |
77 |
$181.68 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
109 |
65 |
$122.73 |
| 36415 |
Collection of venous blood by venipuncture |
1,801 |
1,293 |
$115.76 |
| 87081 |
|
12 |
12 |
$114.36 |
| 85027 |
|
42 |
28 |
$112.77 |
| 85610 |
|
35 |
26 |
$96.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
153 |
113 |
$86.74 |
| 84703 |
|
22 |
12 |
$67.40 |
| G0378 |
Hospital observation service, per hour |
35 |
27 |
$51.32 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
34 |
27 |
$51.05 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
31 |
12 |
$20.79 |
| J2704 |
Injection, propofol, 10 mg |
243 |
194 |
$12.10 |
| 87077 |
|
12 |
12 |
$8.98 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
13 |
$6.10 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
112 |
105 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
196 |
168 |
$0.00 |
| A9270 |
Non-covered item or service |
196 |
163 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17 |
12 |
$0.00 |