| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
7,215 |
7,017 |
$1.80M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,750 |
6,519 |
$1.22M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,488 |
3,276 |
$882K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,100 |
999 |
$372K |
| 80053 |
Comprehensive metabolic panel |
6,382 |
5,965 |
$344K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,395 |
6,832 |
$333K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,277 |
2,244 |
$263K |
| 81001 |
|
4,207 |
3,982 |
$226K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,301 |
1,258 |
$196K |
| 87400 |
|
481 |
451 |
$88K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,314 |
1,243 |
$64K |
| J3490 |
Unclassified drugs |
3,400 |
2,945 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
383 |
373 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
300 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
337 |
315 |
$21K |
| 87081 |
|
210 |
205 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
738 |
684 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
237 |
224 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
117 |
115 |
$12K |
| 83655 |
|
1,009 |
993 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
138 |
136 |
$10K |
| 84484 |
|
620 |
554 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
266 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
114 |
$6K |
| 82550 |
|
645 |
591 |
$4K |
| 82553 |
|
404 |
376 |
$4K |
| 87420 |
|
27 |
27 |
$4K |
| 84703 |
|
315 |
305 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
50 |
50 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
341 |
341 |
$3K |
| 83690 |
|
508 |
491 |
$3K |
| 87428 |
|
88 |
88 |
$2K |
| 80061 |
Lipid panel |
246 |
245 |
$2K |
| 84145 |
|
105 |
102 |
$2K |
| 81002 |
|
484 |
370 |
$2K |
| 83605 |
|
180 |
168 |
$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 |
17 |
17 |
$1K |
| 85018 |
|
247 |
244 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
155 |
149 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$987.04 |
| 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 |
137 |
134 |
$900.00 |
| 80306 |
|
48 |
47 |
$727.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
37 |
$282.98 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$232.50 |
| 85730 |
|
37 |
37 |
$152.62 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
197 |
191 |
$144.15 |
| 85610 |
|
37 |
37 |
$108.96 |
| 81003 |
|
12 |
12 |
$26.94 |
| 85027 |
|
29 |
29 |
$13.32 |
| 84439 |
|
12 |
12 |
$11.37 |
| 85007 |
|
29 |
29 |
$7.83 |