| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
1,591 |
780 |
$1.45M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,245 |
6,835 |
$427K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,458 |
1,296 |
$268K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,848 |
4,465 |
$261K |
| 80050 |
General health panel |
1,983 |
1,891 |
$217K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
922 |
885 |
$152K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,297 |
1,172 |
$144K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,746 |
1,649 |
$126K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,447 |
3,114 |
$105K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,100 |
1,807 |
$93K |
| 71046 |
Radiologic examination, chest; 2 views |
1,292 |
1,208 |
$48K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,191 |
1,937 |
$43K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,425 |
878 |
$42K |
| 81001 |
|
3,106 |
2,815 |
$36K |
| 81025 |
|
660 |
615 |
$35K |
| 80053 |
Comprehensive metabolic panel |
7,564 |
6,517 |
$30K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,857 |
1,674 |
$29K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,006 |
1,878 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,672 |
1,613 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
461 |
427 |
$21K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
549 |
528 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,565 |
1,341 |
$16K |
| 80306 |
|
213 |
182 |
$14K |
| 73562 |
|
215 |
210 |
$13K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,550 |
2,191 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
758 |
688 |
$11K |
| 73030 |
|
135 |
120 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
639 |
607 |
$10K |
| 87186 |
|
691 |
641 |
$10K |
| J2704 |
Injection, propofol, 10 mg |
1,844 |
1,563 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
82 |
75 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
939 |
856 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
618 |
602 |
$8K |
| 85027 |
|
289 |
254 |
$8K |
| 73110 |
|
74 |
68 |
$7K |
| 73630 |
|
142 |
133 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
51 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
603 |
587 |
$6K |
| 73610 |
|
104 |
99 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
72 |
64 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,713 |
1,665 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,125 |
1,090 |
$5K |
| 80061 |
Lipid panel |
1,632 |
1,587 |
$5K |
| 87631 |
|
51 |
50 |
$4K |
| 84439 |
|
1,209 |
1,163 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
128 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
225 |
190 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,060 |
1,892 |
$4K |
| 84702 |
|
289 |
226 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
76 |
74 |
$3K |
| 87660 |
|
101 |
98 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
190 |
167 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
419 |
378 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
633 |
566 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
30 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
700 |
612 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
49 |
$3K |
| 87480 |
|
101 |
98 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$2K |
| 83735 |
|
724 |
563 |
$2K |
| 73590 |
|
14 |
13 |
$2K |
| 76801 |
|
28 |
25 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
50 |
48 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,050 |
930 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$2K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
423 |
378 |
$1K |
| 84484 |
|
869 |
772 |
$1K |
| 82607 |
|
838 |
817 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
161 |
112 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
258 |
231 |
$1K |
| 83690 |
|
1,345 |
1,217 |
$972.27 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$950.96 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
159 |
116 |
$869.43 |
| 74018 |
|
17 |
12 |
$840.09 |
| 83880 |
|
209 |
192 |
$837.52 |
| 72100 |
|
13 |
13 |
$780.61 |
| 81003 |
|
74 |
68 |
$776.00 |
| 82570 |
|
406 |
364 |
$719.42 |
| 84466 |
|
72 |
71 |
$713.11 |
| 85610 |
|
856 |
767 |
$671.97 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
49 |
43 |
$605.65 |
| 87070 |
|
37 |
36 |
$540.39 |
| 87081 |
|
51 |
50 |
$529.54 |
| 86140 |
|
1,341 |
1,193 |
$516.10 |
| 96376 |
|
58 |
50 |
$510.56 |
| 83605 |
|
1,185 |
1,031 |
$499.27 |
| 87088 |
|
401 |
377 |
$436.35 |
| 85379 |
|
375 |
357 |
$362.36 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
70 |
$215.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
772 |
733 |
$149.41 |
| 82728 |
|
45 |
45 |
$126.45 |
| 80069 |
|
12 |
12 |
$105.82 |
| 82043 |
|
45 |
45 |
$73.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
24 |
$56.14 |
| 87807 |
|
32 |
30 |
$45.87 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,389 |
1,158 |
$38.62 |
| 85651 |
|
669 |
585 |
$24.87 |
| 90686 |
|
28 |
28 |
$24.04 |
| 84703 |
|
25 |
24 |
$10.60 |
| 86803 |
|
57 |
54 |
$10.27 |
| 83615 |
|
66 |
60 |
$8.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$4.46 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$2.38 |
| 83540 |
|
87 |
84 |
$0.00 |
| 62323 |
|
13 |
13 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
12 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
12 |
12 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
819 |
717 |
$0.00 |
| 87510 |
|
101 |
98 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
67 |
62 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$0.00 |