| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
5,861 |
3,603 |
$2.78M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,084 |
1,013 |
$137K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,486 |
2,961 |
$135K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,084 |
1,747 |
$92K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,105 |
1,946 |
$61K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
654 |
613 |
$37K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,519 |
2,231 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
441 |
402 |
$33K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,502 |
1,277 |
$32K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
554 |
281 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
491 |
428 |
$12K |
| 80053 |
Comprehensive metabolic panel |
3,133 |
2,671 |
$10K |
| 80050 |
General health panel |
316 |
301 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
361 |
338 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,376 |
1,246 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
845 |
780 |
$7K |
| 96376 |
|
462 |
396 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
154 |
139 |
$6K |
| 83690 |
|
1,224 |
1,057 |
$6K |
| 81001 |
|
1,947 |
1,726 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
149 |
132 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
710 |
644 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
536 |
486 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
257 |
239 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
102 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
99 |
52 |
$3K |
| 81025 |
|
312 |
295 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
96 |
74 |
$3K |
| 86901 |
|
53 |
51 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
408 |
346 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
81 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,214 |
1,030 |
$2K |
| 85379 |
|
504 |
454 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
55 |
52 |
$1K |
| 73630 |
|
13 |
13 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
635 |
521 |
$903.61 |
| 84484 |
|
775 |
681 |
$874.82 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
366 |
342 |
$838.27 |
| 84703 |
|
651 |
602 |
$681.73 |
| 84702 |
|
477 |
447 |
$584.53 |
| 85610 |
|
188 |
171 |
$554.43 |
| 74018 |
|
15 |
13 |
$519.96 |
| 73562 |
|
13 |
13 |
$431.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$423.68 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,420 |
1,262 |
$368.51 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,104 |
1,004 |
$362.64 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
169 |
157 |
$337.78 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
132 |
115 |
$270.91 |
| 87186 |
|
62 |
59 |
$252.49 |
| 93971 |
|
13 |
13 |
$95.96 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
295 |
249 |
$63.71 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,707 |
1,367 |
$63.24 |
| 83735 |
|
137 |
114 |
$56.88 |
| 87040 |
|
196 |
148 |
$31.30 |
| 87088 |
|
58 |
55 |
$24.48 |
| 87081 |
|
16 |
13 |
$24.13 |
| 83880 |
|
76 |
67 |
$24.12 |
| 83605 |
|
622 |
550 |
$21.22 |
| 86140 |
|
387 |
331 |
$14.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,328 |
1,145 |
$12.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
226 |
212 |
$4.08 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
557 |
419 |
$2.86 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
128 |
122 |
$1.60 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
247 |
202 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
449 |
324 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
386 |
355 |
$0.00 |
| 85651 |
|
15 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
531 |
457 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
216 |
192 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
37 |
25 |
$0.00 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
17 |
16 |
$0.00 |
| 83615 |
|
51 |
46 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
55 |
54 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
12 |
$0.00 |