| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
1,798 |
641 |
$17K |
| 99152 |
|
412 |
355 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
464 |
403 |
$8K |
| 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 |
184 |
95 |
$8K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
428 |
374 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
182 |
94 |
$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 |
55 |
54 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
39 |
37 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
357 |
309 |
$911.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
28 |
24 |
$570.91 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
46 |
37 |
$296.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$232.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
13 |
$201.33 |
| J1644 |
Injection, heparin sodium, per 1000 units |
12 |
12 |
$182.20 |