| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,081 |
980 |
$461K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
463 |
403 |
$28K |
| 80053 |
Comprehensive metabolic panel |
3,676 |
2,936 |
$26K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
395 |
368 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
394 |
368 |
$23K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,487 |
1,321 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,805 |
3,021 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
400 |
279 |
$10K |
| 87070 |
|
985 |
910 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
163 |
117 |
$9K |
| 87486 |
|
350 |
324 |
$5K |
| 87581 |
|
350 |
324 |
$5K |
| 83735 |
|
1,355 |
1,131 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
48 |
43 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
115 |
79 |
$3K |
| 84100 |
|
1,316 |
1,106 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
728 |
493 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
154 |
135 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
193 |
169 |
$1K |
| 87653 |
|
28 |
24 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
74 |
73 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
50 |
$1K |
| 87077 |
|
108 |
102 |
$980.77 |
| 80061 |
Lipid panel |
108 |
101 |
$885.99 |
| 87186 |
|
69 |
67 |
$774.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
110 |
99 |
$721.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
18 |
$480.91 |
| 81001 |
|
122 |
108 |
$414.03 |
| 87081 |
|
45 |
42 |
$394.20 |
| 0012A |
|
53 |
51 |
$369.96 |
| 85027 |
|
51 |
41 |
$339.63 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
29 |
$271.21 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20 |
12 |
$268.85 |
| 0011A |
|
56 |
55 |
$257.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
20 |
$201.73 |
| 87040 |
|
12 |
12 |
$176.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
24 |
$149.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21 |
12 |
$115.35 |
| 84439 |
|
14 |
12 |
$110.04 |
| 87205 |
|
27 |
26 |
$107.90 |
| 85007 |
|
51 |
41 |
$79.69 |
| 85651 |
|
19 |
14 |
$77.64 |
| 36415 |
Collection of venous blood by venipuncture |
5,414 |
4,150 |
$71.92 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
181 |
104 |
$51.96 |
| J3490 |
Unclassified drugs |
52 |
28 |
$34.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
12 |
$15.51 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
32 |
16 |
$3.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
40 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
13 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
27 |
24 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
48 |
14 |
$0.00 |