| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,149 |
1,074 |
$338K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,632 |
1,499 |
$202K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,336 |
936 |
$145K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,777 |
1,649 |
$107K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,618 |
1,477 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,026 |
918 |
$66K |
| G0378 |
Hospital observation service, per hour |
109 |
97 |
$46K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,030 |
3,341 |
$35K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,119 |
855 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
63 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,040 |
838 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
774 |
627 |
$6K |
| 82962 |
|
1,060 |
497 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,633 |
1,442 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
468 |
451 |
$2K |
| 80053 |
Comprehensive metabolic panel |
3,184 |
2,696 |
$944.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,757 |
3,000 |
$783.17 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
707 |
664 |
$705.79 |
| 70450 |
Computed tomography, head or brain; without contrast material |
376 |
366 |
$495.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
130 |
81 |
$425.96 |
| 71045 |
Radiologic examination, chest; single view |
1,022 |
947 |
$394.55 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
702 |
560 |
$300.38 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
40 |
40 |
$266.00 |
| 84484 |
|
1,061 |
782 |
$208.92 |
| 81001 |
|
957 |
899 |
$93.79 |
| 81003 |
|
281 |
264 |
$90.10 |
| 80061 |
Lipid panel |
54 |
53 |
$77.24 |
| 80306 |
|
399 |
366 |
$64.37 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
331 |
253 |
$62.04 |
| 84443 |
Thyroid stimulating hormone (TSH) |
56 |
55 |
$60.98 |
| 83690 |
|
514 |
471 |
$56.49 |
| 84703 |
|
28 |
26 |
$56.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$52.96 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
19 |
$51.31 |
| 80320 |
|
331 |
307 |
$42.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
185 |
171 |
$40.68 |
| 85730 |
|
41 |
39 |
$30.97 |
| 85610 |
|
100 |
93 |
$30.97 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
27 |
$14.36 |
| 83605 |
|
456 |
411 |
$11.87 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
12 |
$10.96 |
| 83735 |
|
533 |
459 |
$5.95 |
| A9270 |
Non-covered item or service |
2,391 |
872 |
$5.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
170 |
139 |
$0.68 |
| 87040 |
|
66 |
65 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
193 |
183 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
83 |
80 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
108 |
105 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
94 |
73 |
$0.00 |
| 83880 |
|
103 |
96 |
$0.00 |
| 85027 |
|
91 |
77 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$0.00 |
| 85379 |
|
15 |
13 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$0.00 |
| 82550 |
|
18 |
14 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
18 |
16 |
$0.00 |
| 82077 |
|
16 |
16 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
164 |
67 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
85 |
68 |
$0.00 |
| 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 |
25 |
25 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
13 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
12 |
$0.00 |