| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
9,233 |
5,749 |
$234K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,340 |
965 |
$138K |
| A0425 |
Ground mileage, per statute mile |
2,775 |
1,477 |
$129K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,632 |
558 |
$102K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,041 |
833 |
$90K |
| 84484 |
|
4,052 |
2,265 |
$67K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,320 |
7,008 |
$63K |
| 83880 |
|
2,255 |
1,476 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
4,163 |
2,873 |
$43K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
191 |
24 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,690 |
3,624 |
$39K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
797 |
769 |
$38K |
| 87040 |
|
2,877 |
1,122 |
$37K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
687 |
477 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
12,950 |
7,797 |
$35K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,714 |
1,193 |
$33K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
315 |
220 |
$26K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
841 |
647 |
$24K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,351 |
1,073 |
$23K |
| 83605 |
|
1,787 |
1,156 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,325 |
1,004 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,811 |
1,367 |
$19K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
366 |
228 |
$19K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
455 |
340 |
$19K |
| 82962 |
|
2,145 |
671 |
$18K |
| 82553 |
|
836 |
532 |
$17K |
| 83735 |
|
1,526 |
1,068 |
$14K |
| 86710 |
|
729 |
618 |
$14K |
| 82550 |
|
1,061 |
693 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
300 |
261 |
$12K |
| 81001 |
|
3,061 |
2,244 |
$10K |
| 87634 |
|
108 |
97 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
582 |
428 |
$8K |
| 85610 |
|
1,433 |
1,013 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
652 |
500 |
$6K |
| 83690 |
|
492 |
340 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,543 |
552 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
137 |
111 |
$5K |
| 87430 |
|
420 |
359 |
$5K |
| 87077 |
|
419 |
290 |
$5K |
| 85730 |
|
646 |
456 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
114 |
$4K |
| 81000 |
|
1,445 |
1,050 |
$4K |
| 94664 |
|
242 |
150 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
23 |
16 |
$3K |
| 84703 |
|
328 |
263 |
$3K |
| 94760 |
|
513 |
237 |
$3K |
| 87186 |
|
418 |
290 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
192 |
143 |
$2K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
22 |
14 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
25 |
$2K |
| 36600 |
|
41 |
26 |
$2K |
| 82805 |
|
43 |
26 |
$1K |
| 86756 |
|
90 |
77 |
$1K |
| 74018 |
|
16 |
15 |
$852.33 |
| 80061 |
Lipid panel |
66 |
50 |
$762.32 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
196 |
85 |
$744.87 |
| 0001A |
|
68 |
48 |
$718.45 |
| 85379 |
|
86 |
59 |
$650.85 |
| 0002A |
|
51 |
47 |
$650.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
52 |
40 |
$611.40 |
| 82150 |
|
51 |
38 |
$601.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
123 |
76 |
$579.32 |
| 82728 |
|
18 |
12 |
$463.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
169 |
116 |
$234.05 |
| 73560 |
|
14 |
12 |
$212.02 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
21 |
12 |
$192.77 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
610 |
252 |
$157.50 |
| 84439 |
|
16 |
12 |
$145.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
27 |
$60.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
16 |
$47.38 |
| 82607 |
|
15 |
14 |
$43.04 |
| J7050 |
Infusion, normal saline solution, 250 cc |
571 |
258 |
$33.65 |
| 93041 |
|
25 |
14 |
$30.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
40 |
14 |
$22.50 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
27 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
40 |
14 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
48 |
42 |
$0.00 |