| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
711 |
687 |
$3.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,077 |
2,806 |
$242K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,875 |
1,707 |
$118K |
| G0378 |
Hospital observation service, per hour |
551 |
444 |
$90K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
673 |
623 |
$64K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
941 |
811 |
$46K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,849 |
1,626 |
$9K |
| J2704 |
Injection, propofol, 10 mg |
702 |
658 |
$9K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
714 |
676 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
927 |
825 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
541 |
514 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,011 |
2,275 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,183 |
1,112 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,349 |
4,010 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
5,674 |
4,343 |
$2K |
| 84484 |
|
2,991 |
2,191 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,595 |
2,905 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
345 |
277 |
$2K |
| 81001 |
|
2,610 |
2,362 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
2,214 |
2,002 |
$1K |
| 80053 |
Comprehensive metabolic panel |
2,687 |
2,216 |
$846.24 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
370 |
329 |
$822.94 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,053 |
821 |
$626.16 |
| 71046 |
Radiologic examination, chest; 2 views |
104 |
99 |
$607.48 |
| 87400 |
|
41 |
29 |
$585.22 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
85 |
78 |
$329.43 |
| 0223U |
|
15 |
14 |
$196.49 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
33 |
30 |
$191.71 |
| 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 |
16 |
15 |
$179.99 |
| 85610 |
|
320 |
275 |
$173.26 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
976 |
840 |
$154.77 |
| 83690 |
|
162 |
145 |
$113.76 |
| 85730 |
|
119 |
109 |
$82.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$81.22 |
| 80076 |
|
88 |
81 |
$78.06 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$61.56 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
13 |
$40.52 |
| 85027 |
|
46 |
38 |
$30.12 |
| 87040 |
|
23 |
12 |
$5.30 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$0.00 |
| 82077 |
|
50 |
40 |
$0.00 |
| 82550 |
|
15 |
14 |
$0.00 |
| 83735 |
|
71 |
51 |
$0.00 |
| 86850 |
|
14 |
14 |
$0.00 |
| 82553 |
|
15 |
14 |
$0.00 |
| 86901 |
|
14 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
51 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
30 |
28 |
$0.00 |
| 81003 |
|
27 |
25 |
$0.00 |
| 86900 |
|
14 |
14 |
$0.00 |