| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0121 |
|
155 |
147 |
$894K |
| 0762 |
|
1,233 |
391 |
$781K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
1,258 |
1,185 |
$46K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,274 |
797 |
$37K |
| 80053 |
Comprehensive metabolic panel |
4,693 |
4,242 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
1,712 |
1,659 |
$32K |
| 11043 |
|
803 |
422 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,135 |
4,186 |
$25K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
806 |
800 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,381 |
2,321 |
$19K |
| 43250 |
|
16 |
16 |
$16K |
| 86021 |
|
1,632 |
1,407 |
$16K |
| 80061 |
Lipid panel |
1,238 |
1,214 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
346 |
212 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
603 |
594 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
140 |
98 |
$8K |
| 82607 |
|
551 |
544 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
224 |
221 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
84 |
$7K |
| 97597 |
|
139 |
83 |
$6K |
| 83735 |
|
2,532 |
1,321 |
$6K |
| 83690 |
|
771 |
741 |
$4K |
| 84479 |
|
573 |
561 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
666 |
566 |
$3K |
| 84100 |
|
1,914 |
880 |
$3K |
| 87088 |
|
399 |
394 |
$2K |
| 82948 |
|
1,047 |
314 |
$2K |
| 85730 |
|
850 |
776 |
$2K |
| 82043 |
|
393 |
387 |
$2K |
| 85610 |
|
1,009 |
883 |
$2K |
| 86701 |
|
253 |
252 |
$2K |
| 86480 |
|
37 |
37 |
$2K |
| 81001 |
|
535 |
529 |
$2K |
| 80305 |
|
151 |
149 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$1K |
| 99195 |
|
598 |
224 |
$1K |
| 83880 |
|
74 |
66 |
$1K |
| 73630 |
|
70 |
65 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
57 |
57 |
$1K |
| 84439 |
|
146 |
146 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
43 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
475 |
401 |
$1K |
| 86592 |
|
290 |
289 |
$1K |
| 80074 |
|
29 |
29 |
$1K |
| 85651 |
|
471 |
466 |
$1K |
| 82140 |
|
135 |
110 |
$1K |
| 84153 |
|
64 |
64 |
$1K |
| 0250 |
|
354 |
332 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
385 |
242 |
$909.95 |
| 81000 |
|
600 |
545 |
$859.84 |
| 85032 |
|
258 |
228 |
$809.94 |
| 87207 |
|
143 |
141 |
$788.58 |
| 73120 |
|
56 |
50 |
$761.02 |
| 82553 |
|
154 |
125 |
$681.03 |
| 81003 |
|
343 |
330 |
$649.59 |
| 82150 |
|
121 |
113 |
$551.81 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
13 |
$513.10 |
| 0301 |
|
183 |
173 |
$507.82 |
| 87040 |
|
433 |
325 |
$491.07 |
| 82550 |
|
180 |
143 |
$447.94 |
| 84512 |
|
189 |
111 |
$425.16 |
| 87147 |
|
127 |
117 |
$368.55 |
| 73110 |
|
17 |
15 |
$349.92 |
| 87186 |
|
42 |
41 |
$289.82 |
| 84560 |
|
64 |
64 |
$277.99 |
| 87077 |
|
42 |
41 |
$270.37 |
| 73610 |
|
12 |
12 |
$223.84 |
| 80076 |
|
35 |
33 |
$213.78 |
| 74018 |
|
15 |
13 |
$165.20 |
| 86695 |
|
18 |
17 |
$165.08 |
| 83540 |
|
26 |
26 |
$150.25 |
| 86635 |
|
16 |
13 |
$86.00 |
| 86580 |
|
28 |
25 |
$85.10 |
| 0305 |
|
182 |
172 |
$83.33 |
| 0324 |
|
163 |
155 |
$80.97 |
| 81025 |
|
15 |
13 |
$41.16 |
| 81002 |
|
12 |
12 |
$27.12 |
| 84132 |
|
260 |
113 |
$10.83 |
| 99070 |
|
368 |
340 |
$0.76 |
| 0307 |
|
137 |
130 |
$0.00 |
| 0306 |
|
118 |
112 |
$0.00 |
| 87081 |
|
16 |
14 |
$0.00 |
| 0730 |
|
94 |
90 |
$0.00 |
| 0300 |
|
111 |
106 |
$0.00 |