| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
231 |
221 |
$1.36M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,739 |
2,448 |
$298K |
| G0378 |
Hospital observation service, per hour |
416 |
369 |
$116K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,530 |
1,392 |
$102K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,028 |
1,666 |
$89K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
241 |
228 |
$49K |
| 80053 |
Comprehensive metabolic panel |
3,805 |
3,099 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
639 |
586 |
$3K |
| 93793 |
|
178 |
100 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,092 |
871 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,521 |
3,328 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
490 |
440 |
$940.90 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
83 |
76 |
$826.39 |
| 71045 |
Radiologic examination, chest; single view |
1,299 |
1,162 |
$583.47 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22 |
15 |
$484.63 |
| 84484 |
|
1,564 |
1,157 |
$434.31 |
| J7050 |
Infusion, normal saline solution, 250 cc |
482 |
232 |
$392.83 |
| 96127 |
|
104 |
100 |
$250.10 |
| 81001 |
|
859 |
783 |
$233.45 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
623 |
555 |
$205.22 |
| 83735 |
|
2,341 |
1,922 |
$191.51 |
| 83690 |
|
685 |
600 |
$133.33 |
| 85610 |
|
1,168 |
798 |
$105.61 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
580 |
451 |
$95.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
16 |
$85.11 |
| 84703 |
|
72 |
64 |
$42.94 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
724 |
557 |
$32.92 |
| 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 |
62 |
55 |
$31.88 |
| 81003 |
|
192 |
179 |
$31.54 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
57 |
56 |
$30.41 |
| 82150 |
|
270 |
240 |
$19.65 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
81 |
43 |
$14.82 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
65 |
52 |
$12.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
385 |
302 |
$10.56 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
345 |
312 |
$7.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
178 |
127 |
$1.84 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
87 |
78 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
39 |
37 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
26 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18 |
17 |
$0.00 |
| 85730 |
|
18 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
661 |
487 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
39 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
43 |
39 |
$0.00 |