| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
29,825 |
23,874 |
$8.89M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,406 |
15,757 |
$5.33M |
| X4011 |
State-specific procedure code |
10,945 |
10,308 |
$3.84M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,226 |
36,367 |
$3.69M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,985 |
14,656 |
$3.58M |
| 80053 |
Comprehensive metabolic panel |
44,958 |
38,715 |
$3.17M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,970 |
8,724 |
$2.76M |
| X4006 |
|
2,808 |
1,790 |
$1.91M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,919 |
13,048 |
$1.31M |
| 81001 |
|
7,910 |
7,606 |
$1.23M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,780 |
3,626 |
$1.03M |
| 71045 |
Radiologic examination, chest; single view |
9,015 |
8,588 |
$763K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,000 |
5,743 |
$743K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,626 |
1,495 |
$643K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,326 |
5,096 |
$565K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,901 |
2,408 |
$563K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,026 |
$513K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,303 |
1,263 |
$494K |
| 36415 |
Collection of venous blood by venipuncture |
5,488 |
4,677 |
$395K |
| 71046 |
Radiologic examination, chest; 2 views |
1,067 |
1,023 |
$378K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,766 |
3,549 |
$323K |
| 88312 |
|
3,442 |
3,323 |
$321K |
| 81002 |
|
1,664 |
1,384 |
$261K |
| 83690 |
|
1,664 |
1,592 |
$224K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,253 |
819 |
$191K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,671 |
1,623 |
$178K |
| 87081 |
|
1,085 |
1,072 |
$174K |
| X4003 |
|
1,184 |
683 |
$173K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
349 |
339 |
$166K |
| 80306 |
|
2,011 |
1,938 |
$158K |
| 43249 |
|
401 |
389 |
$146K |
| 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 |
3,548 |
2,948 |
$146K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,111 |
1,073 |
$133K |
| G0378 |
Hospital observation service, per hour |
257 |
233 |
$128K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
487 |
470 |
$117K |
| 84484 |
|
2,907 |
2,268 |
$117K |
| 70450 |
Computed tomography, head or brain; without contrast material |
733 |
692 |
$114K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,773 |
2,459 |
$103K |
| 85027 |
|
228 |
223 |
$98K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,364 |
1,289 |
$98K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
860 |
829 |
$88K |
| 85610 |
|
619 |
589 |
$86K |
| 81025 |
|
674 |
654 |
$84K |
| 86140 |
|
1,514 |
1,438 |
$73K |
| 84145 |
|
495 |
483 |
$65K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,632 |
1,329 |
$64K |
| J3490 |
Unclassified drugs |
7,997 |
5,290 |
$64K |
| 59025 |
Fetal non-stress test |
451 |
199 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
765 |
747 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
242 |
237 |
$54K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
13 |
$50K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
847 |
822 |
$49K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
847 |
822 |
$49K |
| 80081 |
|
653 |
636 |
$49K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
325 |
319 |
$48K |
| 87807 |
|
75 |
74 |
$47K |
| 74022 |
|
66 |
65 |
$39K |
| 81003 |
|
1,708 |
1,648 |
$38K |
| 87653 |
|
653 |
648 |
$38K |
| 82962 |
|
372 |
326 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
102 |
102 |
$28K |
| 86803 |
|
520 |
505 |
$24K |
| 84443 |
Thyroid stimulating hormone (TSH) |
765 |
736 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
131 |
87 |
$17K |
| 83605 |
|
80 |
73 |
$16K |
| 85652 |
|
708 |
662 |
$15K |
| 93880 |
|
227 |
223 |
$15K |
| 80143 |
|
707 |
671 |
$12K |
| 80179 |
|
707 |
670 |
$12K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
16 |
16 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$11K |
| 85018 |
|
57 |
56 |
$11K |
| 85014 |
|
56 |
55 |
$11K |
| Y7507 |
|
104 |
49 |
$11K |
| 82077 |
|
755 |
713 |
$11K |
| 87428 |
|
342 |
339 |
$11K |
| 96367 |
|
283 |
164 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
112 |
106 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
26 |
26 |
$11K |
| 87486 |
|
26 |
26 |
$11K |
| 87581 |
|
26 |
26 |
$11K |
| 84702 |
|
80 |
78 |
$8K |
| 91010 |
|
43 |
41 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
112 |
65 |
$8K |
| 82950 |
|
437 |
432 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
116 |
112 |
$6K |
| 82947 |
|
392 |
359 |
$6K |
| 77336 |
|
162 |
49 |
$5K |
| 83735 |
|
1,253 |
1,153 |
$5K |
| 83880 |
|
172 |
159 |
$5K |
| 87070 |
|
407 |
399 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$4K |
| 94761 |
|
27 |
24 |
$3K |
| 80061 |
Lipid panel |
269 |
266 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
12 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
88 |
86 |
$3K |
| 87400 |
|
89 |
89 |
$2K |
| 96417 |
|
38 |
26 |
$2K |
| 94729 |
|
26 |
24 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
183 |
179 |
$2K |
| 85730 |
|
71 |
70 |
$2K |
| 74018 |
|
52 |
49 |
$2K |
| 87660 |
|
48 |
46 |
$2K |
| 87480 |
|
44 |
42 |
$2K |
| 87510 |
|
30 |
28 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
2,845 |
1,894 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
27 |
26 |
$1K |
| 94618 |
|
26 |
24 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 88304 |
|
25 |
25 |
$930.19 |
| 80076 |
|
42 |
38 |
$840.12 |
| 99460 |
|
12 |
12 |
$793.44 |
| 86705 |
|
12 |
12 |
$752.57 |
| 86317 |
|
12 |
12 |
$746.95 |
| 87340 |
|
12 |
12 |
$735.91 |
| 84439 |
|
18 |
14 |
$712.04 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
268 |
253 |
$669.14 |
| 86900 |
|
16 |
14 |
$532.10 |
| 86850 |
|
16 |
14 |
$521.46 |
| 93017 |
|
12 |
12 |
$506.02 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$500.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$443.07 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,216 |
2,088 |
$407.74 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
58 |
12 |
$369.08 |
| 87147 |
|
13 |
13 |
$342.99 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
67 |
55 |
$284.72 |
| 87641 |
|
12 |
12 |
$268.43 |
| 86901 |
|
16 |
14 |
$262.20 |
| 87420 |
|
19 |
18 |
$202.84 |
| 82043 |
|
13 |
12 |
$195.52 |
| 82570 |
|
13 |
12 |
$191.67 |
| 82565 |
|
12 |
12 |
$185.85 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
114 |
94 |
$168.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$147.69 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
55 |
44 |
$63.35 |
| J7050 |
Infusion, normal saline solution, 250 cc |
129 |
76 |
$55.61 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
62 |
38 |
$51.00 |
| 0641T |
|
40 |
38 |
$50.41 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
71 |
53 |
$50.14 |
| 80069 |
|
12 |
12 |
$45.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$18.97 |
| 0640T |
|
14 |
13 |
$17.98 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
12 |
$4.86 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
88 |
86 |
$0.00 |
| A9270 |
Non-covered item or service |
236 |
128 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |