| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
5,844 |
4,933 |
$172K |
| 87428 |
|
1,611 |
1,535 |
$101K |
| 71046 |
Radiologic examination, chest; 2 views |
2,717 |
2,420 |
$60K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,148 |
5,784 |
$57K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,887 |
412 |
$57K |
| 70450 |
Computed tomography, head or brain; without contrast material |
322 |
306 |
$43K |
| 84484 |
|
1,119 |
929 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
3,211 |
2,383 |
$31K |
| 83605 |
|
1,237 |
1,089 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,213 |
1,115 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,691 |
1,590 |
$19K |
| 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 |
294 |
247 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,664 |
1,466 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
374 |
359 |
$13K |
| 83880 |
|
564 |
479 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
86 |
82 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
135 |
100 |
$11K |
| 80050 |
General health panel |
233 |
218 |
$9K |
| 80061 |
Lipid panel |
1,340 |
1,240 |
$9K |
| 87430 |
|
612 |
580 |
$8K |
| 86140 |
|
861 |
782 |
$8K |
| 81003 |
|
1,701 |
1,555 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
462 |
323 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
362 |
294 |
$7K |
| 81001 |
|
1,499 |
1,351 |
$6K |
| 83690 |
|
429 |
387 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
557 |
508 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
713 |
638 |
$6K |
| 81025 |
|
501 |
468 |
$5K |
| 83735 |
|
544 |
481 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
895 |
814 |
$5K |
| 85610 |
|
983 |
874 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
409 |
359 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
373 |
351 |
$4K |
| 87400 |
|
257 |
245 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
49 |
49 |
$3K |
| 87807 |
|
242 |
236 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
24 |
$2K |
| 71020 |
|
156 |
144 |
$2K |
| 80306 |
|
75 |
69 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
66 |
62 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$915.69 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
14 |
$910.48 |
| 84145 |
|
27 |
26 |
$904.10 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
60 |
52 |
$868.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
298 |
254 |
$850.55 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18 |
18 |
$808.62 |
| 87077 |
|
79 |
75 |
$787.16 |
| 87081 |
|
86 |
81 |
$725.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
68 |
50 |
$443.82 |
| 87040 |
|
15 |
15 |
$429.12 |
| 81002 |
|
112 |
95 |
$330.37 |
| 72100 |
|
14 |
14 |
$312.64 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
526 |
474 |
$306.58 |
| 87420 |
|
27 |
26 |
$286.01 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
219 |
206 |
$265.14 |
| 73130 |
|
14 |
13 |
$225.00 |
| 87186 |
|
53 |
50 |
$197.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
94 |
80 |
$192.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
372 |
335 |
$174.00 |
| 80164 |
|
14 |
12 |
$170.38 |
| 82947 |
|
14 |
13 |
$162.00 |
| 82043 |
|
15 |
15 |
$84.31 |
| 82570 |
|
17 |
17 |
$31.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
13 |
13 |
$6.36 |
| A9270 |
Non-covered item or service |
30 |
26 |
$0.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
80 |
$0.00 |
| 82248 |
|
16 |
15 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
19 |
18 |
$0.00 |