| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,908 |
1,231 |
$242K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
673 |
597 |
$151K |
| 80053 |
Comprehensive metabolic panel |
8,537 |
6,100 |
$115K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,845 |
1,509 |
$79K |
| 70450 |
Computed tomography, head or brain; without contrast material |
859 |
665 |
$76K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,177 |
4,687 |
$72K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
666 |
522 |
$57K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,489 |
2,600 |
$39K |
| 87486 |
|
757 |
664 |
$36K |
| 87581 |
|
757 |
664 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,369 |
1,642 |
$34K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
757 |
664 |
$31K |
| 83880 |
|
1,262 |
841 |
$25K |
| 82553 |
|
2,665 |
1,291 |
$22K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,941 |
929 |
$20K |
| 82550 |
|
2,715 |
1,314 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,423 |
1,680 |
$17K |
| 84484 |
|
2,885 |
1,395 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
400 |
335 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
973 |
825 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
4,531 |
3,052 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
214 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,877 |
1,564 |
$15K |
| 80061 |
Lipid panel |
1,531 |
1,376 |
$14K |
| 80305 |
|
975 |
710 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
163 |
107 |
$11K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
76 |
42 |
$11K |
| 85027 |
|
2,574 |
2,158 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
952 |
803 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,002 |
873 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,671 |
1,525 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
40 |
$9K |
| 81025 |
|
927 |
792 |
$8K |
| 81001 |
|
2,543 |
2,031 |
$8K |
| 87631 |
|
74 |
58 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
319 |
157 |
$4K |
| 87088 |
|
514 |
377 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
189 |
164 |
$3K |
| 81003 |
|
797 |
635 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
55 |
33 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
160 |
110 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
477 |
342 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
87 |
53 |
$1K |
| 83735 |
|
281 |
191 |
$1K |
| 87077 |
|
204 |
150 |
$1K |
| 83690 |
|
176 |
115 |
$1K |
| 71020 |
|
74 |
69 |
$1K |
| 82962 |
|
600 |
134 |
$956.58 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
30 |
25 |
$907.00 |
| 87186 |
|
163 |
124 |
$658.37 |
| 83605 |
|
69 |
42 |
$657.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
31 |
28 |
$389.63 |
| 85379 |
|
69 |
45 |
$386.52 |
| 0002A |
|
12 |
12 |
$372.07 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$338.16 |
| 85610 |
|
60 |
43 |
$307.36 |
| 85730 |
|
34 |
24 |
$289.81 |
| 73630 |
|
12 |
12 |
$198.16 |
| 82150 |
|
23 |
16 |
$174.78 |
| 0001A |
|
16 |
16 |
$174.52 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
615 |
417 |
$158.85 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
73 |
59 |
$108.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
130 |
26 |
$97.62 |
| 84153 |
|
12 |
12 |
$78.81 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,385 |
689 |
$11.95 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
42 |
13 |
$11.74 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
241 |
191 |
$4.85 |
| 3008F |
|
16 |
12 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
82 |
28 |
$0.00 |