| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,609 |
7,934 |
$2.56M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,346 |
17,811 |
$2.50M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,596 |
13,776 |
$1.95M |
| 90870 |
|
4,235 |
1,352 |
$1.85M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,117 |
10,432 |
$1.47M |
| 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 |
8,552 |
7,341 |
$487K |
| 80053 |
Comprehensive metabolic panel |
15,033 |
13,771 |
$177K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,160 |
2,048 |
$162K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
6,793 |
5,775 |
$136K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
244 |
233 |
$94K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,450 |
1,394 |
$76K |
| 0001A |
|
622 |
602 |
$56K |
| 0002A |
|
542 |
528 |
$49K |
| 84484 |
|
1,624 |
1,340 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
175 |
161 |
$36K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,892 |
3,568 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
486 |
447 |
$27K |
| 86850 |
|
497 |
455 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
567 |
509 |
$17K |
| 88342 |
|
460 |
440 |
$15K |
| 0012A |
|
147 |
138 |
$12K |
| 80306 |
|
448 |
410 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
486 |
447 |
$10K |
| 86787 |
|
540 |
494 |
$8K |
| 86769 |
|
178 |
175 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
82 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
528 |
485 |
$5K |
| 87340 |
|
508 |
466 |
$5K |
| 86803 |
|
197 |
185 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,078 |
13,040 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,802 |
1,587 |
$3K |
| 86762 |
|
164 |
155 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
12 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
12 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,732 |
4,961 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,953 |
19,333 |
$3K |
| 86900 |
|
526 |
482 |
$2K |
| J3490 |
Unclassified drugs |
28,840 |
13,162 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$2K |
| 86765 |
|
180 |
171 |
$2K |
| 86735 |
|
181 |
172 |
$2K |
| 95806 |
|
12 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
3,330 |
3,028 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,491 |
6,828 |
$1K |
| 82043 |
|
13 |
13 |
$1K |
| 86901 |
|
526 |
482 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
26 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
4,062 |
630 |
$897.47 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
49 |
$837.71 |
| 87510 |
|
12 |
12 |
$769.12 |
| 82570 |
|
27 |
27 |
$753.62 |
| 83605 |
|
15 |
14 |
$687.15 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
17 |
13 |
$670.34 |
| 94060 |
|
14 |
13 |
$527.88 |
| 87081 |
|
13 |
13 |
$498.07 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
12 |
$440.10 |
| 87480 |
|
12 |
12 |
$423.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,340 |
3,921 |
$407.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$398.66 |
| 82607 |
|
51 |
51 |
$394.48 |
| 82746 |
|
38 |
38 |
$385.65 |
| 87660 |
|
12 |
12 |
$384.56 |
| 94729 |
|
15 |
14 |
$307.30 |
| 0352U |
|
12 |
12 |
$262.46 |
| 83540 |
|
50 |
50 |
$193.40 |
| 82728 |
|
38 |
38 |
$188.83 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
13 |
12 |
$158.00 |
| 86140 |
|
66 |
64 |
$156.80 |
| 83690 |
|
4,039 |
3,701 |
$136.11 |
| 84466 |
|
50 |
50 |
$136.05 |
| 86780 |
|
14 |
13 |
$101.93 |
| 80061 |
Lipid panel |
25 |
25 |
$99.09 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$91.52 |
| 86160 |
|
13 |
12 |
$90.40 |
| 85027 |
|
767 |
711 |
$84.33 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$76.74 |
| 86364 |
|
12 |
12 |
$49.32 |
| 84703 |
|
539 |
508 |
$42.96 |
| 82077 |
|
87 |
78 |
$38.40 |
| Q3014 |
Telehealth originating site facility fee |
52 |
44 |
$28.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$24.94 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,527 |
1,411 |
$13.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,052 |
3,738 |
$9.63 |
| 81001 |
|
2,524 |
2,349 |
$2.22 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,151 |
793 |
$2.04 |
| J2704 |
Injection, propofol, 10 mg |
3,916 |
1,410 |
$0.11 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,868 |
561 |
$0.04 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
919 |
251 |
$0.03 |
| 83735 |
|
375 |
345 |
$0.00 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
1,391 |
420 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
12 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
16 |
12 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
15 |
15 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
42 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
20 |
20 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
167 |
160 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
137 |
51 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
30 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
135 |
124 |
$0.00 |
| 81025 |
|
97 |
86 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
75 |
57 |
$0.00 |
| 81003 |
|
278 |
263 |
$0.00 |