| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
3,109 |
2,217 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
192 |
179 |
$34K |
| 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 |
268 |
254 |
$26K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
209 |
180 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
115 |
113 |
$14K |
| 0002A |
|
377 |
347 |
$6K |
| 0001A |
|
421 |
382 |
$6K |
| 85027 |
|
918 |
762 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
397 |
302 |
$2K |
| 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 |
799 |
402 |
$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 |
103 |
95 |
$1K |
| 76642 |
|
42 |
37 |
$1K |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
32 |
26 |
$863.73 |
| 80053 |
Comprehensive metabolic panel |
26 |
24 |
$145.19 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
12 |
$102.96 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
511 |
422 |
$90.42 |
| 81001 |
|
45 |
38 |
$85.61 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
869 |
461 |
$84.89 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
886 |
670 |
$72.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
756 |
611 |
$70.03 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
65 |
43 |
$45.89 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
498 |
348 |
$24.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
246 |
212 |
$5.73 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
69 |
52 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$0.00 |
| 91300 |
|
22 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
87 |
52 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18 |
12 |
$0.00 |