| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64635 |
|
315 |
211 |
$248K |
| 54161 |
|
156 |
156 |
$196K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
269 |
268 |
$113K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
128 |
97 |
$95K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$52K |
| 64493 |
|
93 |
59 |
$28K |
| 64483 |
|
77 |
62 |
$25K |
| 54640 |
|
16 |
14 |
$25K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
262 |
262 |
$18K |
| 62323 |
|
24 |
24 |
$11K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
102 |
101 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$2K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
12 |
12 |
$285.00 |
| 81025 |
|
27 |
27 |
$159.67 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
94 |
91 |
$53.29 |
| C1769 |
Guide wire |
25 |
25 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
98 |
97 |
$0.00 |
| 64636 |
|
14 |
13 |
$0.00 |