| Code | Description | Claims | Beneficiaries | Total Paid |
| 99221 |
|
2,989 |
2,217 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,438 |
1,823 |
$47K |
| 80053 |
Comprehensive metabolic panel |
4,169 |
2,870 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,719 |
2,565 |
$22K |
| 0510 |
|
1,026 |
774 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
67 |
64 |
$12K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
569 |
329 |
$12K |
| 74178 |
|
40 |
38 |
$10K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
953 |
477 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
214 |
126 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
827 |
622 |
$5K |
| 83615 |
|
677 |
507 |
$3K |
| 83735 |
|
457 |
313 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
120 |
117 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
29 |
24 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
397 |
227 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
92 |
79 |
$1K |
| 85027 |
|
258 |
211 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
46 |
37 |
$892.01 |
| 84100 |
|
153 |
95 |
$513.36 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
108 |
38 |
$435.39 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$337.09 |
| 84439 |
|
56 |
50 |
$318.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$206.06 |
| 36591 |
|
205 |
151 |
$183.85 |
| 82378 |
|
13 |
12 |
$125.03 |
| 82248 |
|
14 |
12 |
$51.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$12.45 |
| A9270 |
Non-covered item or service |
299 |
186 |
$0.00 |
| 0250 |
|
84 |
47 |
$0.00 |