| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,368 |
3,115 |
$762K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,612 |
5,328 |
$639K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,204 |
2,894 |
$111K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
468 |
431 |
$98K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
198 |
193 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
386 |
349 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,907 |
2,575 |
$17K |
| 87430 |
|
1,180 |
1,140 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,952 |
1,714 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
685 |
661 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
259 |
236 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
289 |
258 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$5K |
| 59025 |
Fetal non-stress test |
71 |
48 |
$5K |
| 87807 |
|
280 |
268 |
$3K |
| 81003 |
|
912 |
824 |
$2K |
| 87070 |
|
173 |
167 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
155 |
140 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
83 |
$861.39 |
| 84484 |
|
144 |
110 |
$604.64 |
| 81025 |
|
68 |
66 |
$490.93 |
| 81001 |
|
192 |
175 |
$484.94 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
63 |
63 |
$466.79 |
| 86703 |
|
26 |
24 |
$463.56 |
| 36415 |
Collection of venous blood by venipuncture |
1,770 |
1,544 |
$377.54 |
| 80076 |
|
54 |
50 |
$372.20 |
| 87340 |
|
26 |
24 |
$358.99 |
| 86592 |
|
26 |
24 |
$148.38 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
14 |
$138.38 |
| 87899 |
|
27 |
24 |
$136.65 |
| 86850 |
|
12 |
12 |
$135.86 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$84.32 |
| 83690 |
|
14 |
13 |
$73.62 |
| 82150 |
|
13 |
13 |
$61.72 |
| 86900 |
|
12 |
12 |
$45.28 |
| 86901 |
|
12 |
12 |
$45.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$33.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
12 |
$19.82 |
| 83605 |
|
12 |
12 |
$18.46 |
| 85730 |
|
13 |
13 |
$17.83 |
| 85610 |
|
13 |
13 |
$12.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
109 |
77 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
758 |
496 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
12 |
$0.00 |