| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
4,458 |
3,732 |
$224K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,354 |
2,082 |
$124K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,204 |
1,263 |
$114K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
754 |
688 |
$111K |
| 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 |
1,541 |
1,319 |
$103K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
722 |
685 |
$90K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,806 |
652 |
$67K |
| 80053 |
Comprehensive metabolic panel |
5,096 |
4,665 |
$60K |
| 99199 |
Unlisted special service, procedure or report |
1,030 |
932 |
$52K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,318 |
2,282 |
$46K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,349 |
4,803 |
$46K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,411 |
1,403 |
$35K |
| 80061 |
Lipid panel |
2,290 |
2,280 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
915 |
811 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,692 |
1,677 |
$18K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
488 |
392 |
$18K |
| 99070 |
|
1,470 |
1,097 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
504 |
467 |
$15K |
| 0250 |
|
541 |
315 |
$12K |
| 84439 |
|
899 |
883 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
173 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
381 |
293 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
605 |
537 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
154 |
127 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
157 |
129 |
$6K |
| J3490 |
Unclassified drugs |
423 |
276 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
135 |
118 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
375 |
360 |
$3K |
| 81002 |
|
1,186 |
1,056 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
24 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
413 |
366 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
59 |
55 |
$2K |
| 80306 |
|
129 |
116 |
$2K |
| 0272 |
|
112 |
96 |
$2K |
| 86140 |
|
277 |
276 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
175 |
169 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$1K |
| 84484 |
|
152 |
113 |
$1K |
| 0270 |
|
275 |
199 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
94 |
56 |
$973.35 |
| 81001 |
|
260 |
253 |
$855.47 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$780.28 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
42 |
29 |
$742.63 |
| 83690 |
|
88 |
80 |
$642.68 |
| 85651 |
|
177 |
173 |
$601.21 |
| Z7502 |
|
13 |
12 |
$551.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
29 |
$517.50 |
| 80047 |
|
79 |
73 |
$506.37 |
| 83880 |
|
25 |
24 |
$429.30 |
| 85610 |
|
99 |
82 |
$357.88 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
55 |
51 |
$329.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$312.82 |
| 82150 |
|
24 |
24 |
$263.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
39 |
$168.26 |
| 82044 |
|
27 |
27 |
$144.40 |
| 0253 |
|
13 |
12 |
$112.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
28 |
25 |
$92.37 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
16 |
$85.28 |
| 81025 |
|
12 |
12 |
$33.60 |
| A0425 |
Ground mileage, per statute mile |
139 |
113 |
$9.60 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
62 |
52 |
$0.00 |
| 0250R |
|
16 |
13 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
40 |
14 |
$0.00 |
| 97162 |
|
12 |
12 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
39 |
12 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
107 |
15 |
$0.00 |