| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44,167 |
40,695 |
$10.66M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
39,685 |
34,987 |
$9.81M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
22,429 |
19,739 |
$1.06M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,209 |
1,145 |
$181K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,101 |
2,907 |
$98K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,462 |
3,268 |
$64K |
| 80053 |
Comprehensive metabolic panel |
38,353 |
33,539 |
$41K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
168 |
131 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,329 |
1,131 |
$26K |
| G0378 |
Hospital observation service, per hour |
53 |
39 |
$21K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
19 |
15 |
$17K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,080 |
3,494 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
216 |
80 |
$14K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
151 |
54 |
$11K |
| 85027 |
|
42,981 |
37,580 |
$8K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
123 |
49 |
$7K |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
29 |
27 |
$7K |
| 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 |
151 |
138 |
$6K |
| 84484 |
|
3,320 |
2,614 |
$5K |
| 81001 |
|
17,143 |
15,299 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,405 |
6,754 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
15,830 |
13,977 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
160 |
135 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,568 |
8,153 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
371 |
316 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
4,078 |
3,755 |
$1K |
| 83690 |
|
5,762 |
5,095 |
$1K |
| 84703 |
|
3,183 |
2,897 |
$901.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,247 |
2,159 |
$807.37 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
12 |
$804.31 |
| 71045 |
Radiologic examination, chest; single view |
2,959 |
2,556 |
$573.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$517.72 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,328 |
7,726 |
$502.33 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
24 |
14 |
$369.08 |
| 81025 |
|
306 |
272 |
$100.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
369 |
342 |
$99.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,835 |
1,688 |
$95.35 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
336 |
292 |
$62.14 |
| 87807 |
|
125 |
118 |
$20.17 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,245 |
2,022 |
$18.34 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
390 |
335 |
$3.36 |
| 81003 |
|
629 |
574 |
$2.25 |
| 87081 |
|
803 |
769 |
$0.00 |
| 87070 |
|
426 |
417 |
$0.00 |
| 85730 |
|
171 |
149 |
$0.00 |
| 83735 |
|
310 |
268 |
$0.00 |
| 83605 |
|
63 |
52 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$0.00 |
| 82077 |
|
89 |
76 |
$0.00 |
| 87040 |
|
76 |
60 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
18 |
18 |
$0.00 |
| 74022 |
|
14 |
12 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
43 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
19 |
12 |
$0.00 |
| 96376 |
|
18 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
363 |
317 |
$0.00 |
| 85610 |
|
470 |
411 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
27 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
234 |
217 |
$0.00 |