| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
14,613 |
6,410 |
$4.22M |
| 80053 |
Comprehensive metabolic panel |
7,290 |
5,682 |
$474K |
| 36415 |
Collection of venous blood by venipuncture |
4,009 |
3,134 |
$327K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
713 |
605 |
$128K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,745 |
3,886 |
$125K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,677 |
1,466 |
$74K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,223 |
5,699 |
$69K |
| 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 |
1,145 |
961 |
$68K |
| 80047 |
|
755 |
600 |
$67K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,946 |
1,342 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,132 |
910 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,032 |
911 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,508 |
4,292 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,422 |
1,123 |
$35K |
| 81001 |
|
5,801 |
4,680 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,159 |
1,037 |
$22K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
531 |
474 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,778 |
1,471 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,592 |
1,367 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
894 |
758 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,537 |
1,304 |
$16K |
| J3490 |
Unclassified drugs |
47 |
41 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
470 |
410 |
$14K |
| 87400 |
|
212 |
203 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,326 |
1,114 |
$10K |
| 85027 |
|
10,934 |
7,435 |
$10K |
| 80306 |
|
1,314 |
1,082 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
56 |
50 |
$8K |
| G0378 |
Hospital observation service, per hour |
64 |
52 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,930 |
2,293 |
$6K |
| 84703 |
|
1,181 |
1,011 |
$5K |
| 84484 |
|
2,193 |
1,543 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,532 |
2,010 |
$4K |
| 81025 |
|
819 |
702 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,386 |
1,942 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,028 |
1,635 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,896 |
3,192 |
$3K |
| 83690 |
|
2,937 |
2,341 |
$3K |
| 80076 |
|
538 |
435 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
930 |
746 |
$2K |
| 83605 |
|
1,695 |
1,266 |
$2K |
| 87070 |
|
214 |
163 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
289 |
227 |
$2K |
| 87420 |
|
35 |
31 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
24 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
12 |
$1K |
| 85379 |
|
315 |
280 |
$1K |
| 96376 |
|
298 |
228 |
$881.32 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
201 |
185 |
$876.45 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,692 |
1,433 |
$738.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,334 |
1,732 |
$725.49 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,718 |
1,454 |
$709.84 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
91 |
80 |
$651.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
44 |
$612.81 |
| 87186 |
|
1,105 |
844 |
$604.61 |
| 73562 |
|
13 |
12 |
$555.28 |
| 87040 |
|
249 |
154 |
$502.22 |
| 85610 |
|
512 |
419 |
$492.87 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
725 |
543 |
$449.50 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
66 |
63 |
$447.52 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
133 |
$165.80 |
| 86140 |
|
51 |
39 |
$123.31 |
| 87088 |
|
13 |
12 |
$122.43 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$109.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
35 |
$86.82 |
| 83880 |
|
309 |
257 |
$67.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
55 |
$19.22 |
| 87634 |
|
99 |
86 |
$15.07 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
148 |
107 |
$13.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
247 |
205 |
$10.20 |
| 80143 |
|
356 |
305 |
$8.21 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
85 |
77 |
$3.12 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
556 |
437 |
$1.15 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
26 |
24 |
$0.43 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
256 |
222 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
134 |
70 |
$0.00 |
| 80061 |
Lipid panel |
45 |
42 |
$0.00 |
| 84439 |
|
20 |
18 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
228 |
204 |
$0.00 |
| 82550 |
|
16 |
15 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
63 |
61 |
$0.00 |
| 85652 |
|
64 |
55 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$0.00 |