| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
35 |
35 |
$21K |
| 80053 |
Comprehensive metabolic panel |
233 |
220 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
557 |
523 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
69 |
69 |
$14K |
| 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 |
93 |
93 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
110 |
105 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
159 |
155 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$6K |
| 81001 |
|
321 |
307 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$4K |
| 87081 |
|
76 |
76 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
64 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
23 |
23 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
26 |
19 |
$3K |
| 87210 |
|
53 |
52 |
$3K |
| G0378 |
Hospital observation service, per hour |
27 |
21 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
314 |
298 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
55 |
52 |
$2K |
| 81025 |
|
217 |
210 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
61 |
61 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
82 |
$1K |
| 73030 |
|
16 |
16 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$1K |
| 74018 |
|
19 |
19 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$1K |
| 73630 |
|
17 |
17 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
63 |
$1K |
| 73562 |
|
20 |
20 |
$1K |
| 73130 |
|
27 |
26 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
180 |
172 |
$1K |
| 73610 |
|
17 |
17 |
$1K |
| 73110 |
|
22 |
21 |
$921.83 |
| 85027 |
|
353 |
327 |
$817.34 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
68 |
54 |
$717.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
60 |
60 |
$710.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
23 |
23 |
$591.16 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
16 |
$533.92 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
53 |
51 |
$500.00 |
| 71045 |
Radiologic examination, chest; single view |
119 |
113 |
$500.00 |
| 87275 |
|
20 |
20 |
$500.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
27 |
$496.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
16 |
$337.00 |
| 72100 |
|
22 |
22 |
$297.59 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
129 |
121 |
$274.40 |
| 85379 |
|
25 |
25 |
$250.00 |
| 84703 |
|
34 |
34 |
$250.00 |
| 73090 |
|
15 |
15 |
$250.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
44 |
$250.00 |
| 87077 |
|
19 |
19 |
$158.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
53 |
48 |
$52.58 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
64 |
63 |
$46.28 |
| 84702 |
|
18 |
18 |
$42.28 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
41 |
41 |
$7.71 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
26 |
21 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
71 |
68 |
$0.00 |
| 83605 |
|
14 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
52 |
$0.00 |
| 87147 |
|
16 |
16 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$0.00 |
| 83735 |
|
26 |
22 |
$0.00 |
| 83880 |
|
22 |
21 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
149 |
101 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
19 |
17 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
17 |
17 |
$0.00 |
| 86901 |
|
18 |
18 |
$0.00 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
18 |
17 |
$0.00 |
| 83690 |
|
85 |
80 |
$0.00 |
| 84484 |
|
85 |
79 |
$0.00 |
| 85730 |
|
15 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
28 |
$0.00 |
| 87276 |
|
20 |
20 |
$0.00 |
| 87040 |
|
16 |
16 |
$0.00 |
| 85610 |
|
26 |
24 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
36 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
38 |
34 |
$0.00 |
| 84439 |
|
19 |
19 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
19 |
$0.00 |
| 10060 |
|
17 |
17 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
56 |
54 |
$0.00 |
| 86900 |
|
18 |
18 |
$0.00 |
| 00731 |
|
12 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
25 |
23 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
98 |
88 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
62 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
23 |
23 |
$0.00 |
| 87186 |
|
20 |
20 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
111 |
107 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
16 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
46 |
41 |
$0.00 |