| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,222 |
545 |
$517K |
| G0378 |
Hospital observation service, per hour |
4,884 |
2,141 |
$516K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
563 |
470 |
$93K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
458 |
377 |
$79K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
259 |
119 |
$68K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
503 |
389 |
$64K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
283 |
229 |
$53K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
287 |
233 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
244 |
190 |
$39K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
111 |
85 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
24 |
$13K |
| 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 |
42 |
29 |
$9K |
| 94664 |
|
216 |
145 |
$6K |
| 95700 |
|
29 |
24 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
237 |
180 |
$3K |
| 80053 |
Comprehensive metabolic panel |
856 |
594 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,248 |
834 |
$942.23 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
332 |
173 |
$699.05 |
| 71045 |
Radiologic examination, chest; single view |
70 |
49 |
$695.42 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
210 |
161 |
$510.48 |
| 84439 |
|
80 |
54 |
$368.96 |
| 80143 |
|
63 |
39 |
$230.92 |
| 82077 |
|
71 |
49 |
$204.94 |
| 84443 |
Thyroid stimulating hormone (TSH) |
80 |
54 |
$195.05 |
| 81003 |
|
199 |
133 |
$132.04 |
| 80179 |
|
58 |
37 |
$115.50 |
| 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 |
42 |
29 |
$112.15 |
| 87040 |
|
56 |
44 |
$109.10 |
| 81025 |
|
95 |
69 |
$106.53 |
| 86140 |
|
51 |
44 |
$85.17 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
33 |
$80.13 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
76 |
55 |
$67.00 |
| 96376 |
|
79 |
38 |
$66.35 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
27 |
$52.10 |
| 84145 |
|
16 |
13 |
$32.05 |
| J7050 |
Infusion, normal saline solution, 250 cc |
463 |
138 |
$29.49 |
| J3480 |
Injection, potassium chloride, per 2 meq |
790 |
414 |
$19.88 |
| 85610 |
|
15 |
12 |
$18.53 |
| 82947 |
|
46 |
32 |
$17.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
165 |
130 |
$11.43 |
| 83690 |
|
19 |
15 |
$10.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
200 |
131 |
$5.66 |
| 85014 |
|
43 |
31 |
$0.00 |
| 82565 |
|
25 |
16 |
$0.00 |
| 84520 |
|
25 |
16 |
$0.00 |
| 94761 |
|
148 |
87 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
26 |
13 |
$0.00 |
| 94760 |
|
28 |
24 |
$0.00 |
| 80051 |
|
25 |
16 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
18 |
12 |
$0.00 |