| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
158 |
152 |
$172K |
| 36415 |
Collection of venous blood by venipuncture |
3,336 |
2,429 |
$30K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
371 |
157 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
241 |
218 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
312 |
290 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
755 |
625 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
406 |
384 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
138 |
135 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
68 |
62 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
44 |
41 |
$9K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
141 |
138 |
$6K |
| 86140 |
|
155 |
130 |
$3K |
| 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 |
29 |
29 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
115 |
114 |
$2K |
| 80053 |
Comprehensive metabolic panel |
69 |
65 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
159 |
152 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
158 |
152 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
69 |
$923.42 |
| 87634 |
|
12 |
12 |
$773.41 |
| 85048 |
|
113 |
38 |
$706.98 |
| 85004 |
|
113 |
38 |
$700.08 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$553.36 |
| 84144 |
|
15 |
12 |
$110.66 |