| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
7,127 |
3,941 |
$2.70M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,745 |
3,833 |
$196K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,787 |
3,237 |
$117K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,076 |
1,648 |
$103K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
709 |
640 |
$73K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,418 |
1,248 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,220 |
1,872 |
$31K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
842 |
779 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
360 |
285 |
$28K |
| 80050 |
General health panel |
272 |
245 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,323 |
1,089 |
$20K |
| 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 |
260 |
233 |
$15K |
| 81001 |
|
1,933 |
1,676 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,148 |
984 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
721 |
647 |
$11K |
| 80053 |
Comprehensive metabolic panel |
4,527 |
3,700 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
492 |
440 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,092 |
987 |
$9K |
| 87081 |
|
374 |
361 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
563 |
540 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
840 |
698 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
98 |
90 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
737 |
623 |
$5K |
| 84702 |
|
329 |
286 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,511 |
1,218 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
168 |
144 |
$3K |
| 74018 |
|
82 |
77 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
47 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
189 |
166 |
$2K |
| 80061 |
Lipid panel |
370 |
355 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
71 |
$2K |
| 96376 |
|
14 |
13 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
43 |
39 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
943 |
829 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
28 |
13 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
172 |
161 |
$1K |
| 87077 |
|
13 |
12 |
$1K |
| 87186 |
|
51 |
50 |
$944.69 |
| J2704 |
Injection, propofol, 10 mg |
241 |
222 |
$877.71 |
| 83880 |
|
91 |
81 |
$773.96 |
| 87631 |
|
16 |
16 |
$515.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
89 |
77 |
$467.53 |
| 85027 |
|
13 |
12 |
$431.12 |
| 83605 |
|
1,043 |
872 |
$416.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
126 |
114 |
$390.71 |
| 86140 |
|
525 |
452 |
$388.11 |
| 84484 |
|
451 |
386 |
$374.50 |
| 83690 |
|
1,100 |
958 |
$367.94 |
| 70450 |
Computed tomography, head or brain; without contrast material |
34 |
31 |
$298.85 |
| 82607 |
|
54 |
51 |
$197.01 |
| 85610 |
|
180 |
131 |
$145.40 |
| 85379 |
|
317 |
285 |
$99.30 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
42 |
40 |
$59.72 |
| 87070 |
|
12 |
12 |
$48.24 |
| 82570 |
|
12 |
12 |
$32.57 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
505 |
460 |
$14.26 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
42 |
32 |
$5.45 |
| 85651 |
|
56 |
49 |
$3.94 |
| 82728 |
|
43 |
37 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
68 |
53 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$0.00 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$0.00 |
| 87088 |
|
12 |
12 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
15 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 83615 |
|
37 |
32 |
$0.00 |
| 84478 |
|
19 |
18 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
61 |
53 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
16 |
13 |
$0.00 |