| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
99 |
99 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
114 |
87 |
$1K |
| 77065 |
Tomosynthesis, mammo |
27 |
27 |
$1K |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$985.48 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
79 |
70 |
$863.19 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
91 |
52 |
$491.55 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24 |
24 |
$182.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,504 |
1,498 |
$171.57 |
| 80061 |
Lipid panel |
875 |
870 |
$165.94 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$160.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$137.76 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
43 |
$129.19 |
| 84153 |
|
98 |
98 |
$128.73 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
69 |
68 |
$108.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,310 |
1,224 |
$102.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
587 |
583 |
$77.26 |
| 84484 |
|
82 |
52 |
$75.79 |
| 0038U |
|
333 |
333 |
$68.85 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
98 |
91 |
$63.37 |
| 80051 |
|
1,600 |
1,497 |
$63.18 |
| 85610 |
|
392 |
290 |
$48.99 |
| 82565 |
|
1,678 |
1,572 |
$47.81 |
| 80076 |
|
666 |
645 |
$44.79 |
| 83880 |
|
32 |
31 |
$44.15 |
| 82947 |
|
1,610 |
1,506 |
$39.68 |
| 84520 |
|
1,602 |
1,499 |
$35.54 |
| 80053 |
Comprehensive metabolic panel |
266 |
249 |
$33.78 |
| 83550 |
|
172 |
172 |
$27.18 |
| 83540 |
|
172 |
172 |
$20.11 |
| 82607 |
|
230 |
230 |
$17.57 |
| 83690 |
|
52 |
47 |
$16.76 |
| 85027 |
|
196 |
194 |
$15.12 |
| 82728 |
|
116 |
116 |
$14.68 |
| 81001 |
|
371 |
346 |
$11.11 |
| 87088 |
|
174 |
162 |
$9.99 |
| 84439 |
|
127 |
124 |
$9.79 |
| 87077 |
|
170 |
155 |
$8.05 |
| 83735 |
|
177 |
173 |
$7.72 |
| 84550 |
|
180 |
175 |
$5.20 |
| 82570 |
|
584 |
575 |
$1.51 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
37 |
37 |
$1.36 |
| 82105 |
|
16 |
16 |
$1.18 |
| 84100 |
|
30 |
26 |
$1.03 |
| 85651 |
|
63 |
63 |
$0.93 |
| 86140 |
|
64 |
63 |
$0.67 |
| 87186 |
|
78 |
77 |
$0.66 |
| 82043 |
|
413 |
413 |
$0.51 |
| 84156 |
|
146 |
141 |
$0.48 |
| 82747 |
|
16 |
16 |
$0.37 |
| 83921 |
|
26 |
26 |
$0.37 |
| 84450 |
|
175 |
171 |
$0.29 |
| 84460 |
|
451 |
448 |
$0.15 |
| 87481 |
|
22 |
12 |
$0.00 |
| 84155 |
|
13 |
13 |
$0.00 |
| 82274 |
|
408 |
407 |
$0.00 |
| 87338 |
|
33 |
33 |
$0.00 |
| 82465 |
|
94 |
94 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
157 |
154 |
$0.00 |
| 83970 |
|
13 |
13 |
$0.00 |
| 84132 |
|
46 |
43 |
$0.00 |
| 80069 |
|
117 |
113 |
$0.00 |
| 87517 |
|
13 |
13 |
$0.00 |
| 86481 |
|
165 |
165 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$0.00 |
| 82985 |
|
41 |
40 |
$0.00 |
| 86803 |
|
67 |
66 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$0.00 |
| 84075 |
|
13 |
12 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |