| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
10,442 |
4,858 |
$3.49M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,143 |
2,716 |
$98K |
| 80053 |
Comprehensive metabolic panel |
3,973 |
3,283 |
$87K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
220 |
206 |
$62K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,753 |
3,149 |
$46K |
| 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 |
603 |
524 |
$27K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
622 |
557 |
$24K |
| 81001 |
|
2,794 |
2,380 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
374 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
468 |
388 |
$16K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
357 |
309 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
631 |
580 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,137 |
1,773 |
$14K |
| 87400 |
|
302 |
267 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,207 |
1,048 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
331 |
295 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
476 |
359 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
799 |
700 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,728 |
2,286 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
416 |
380 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
746 |
656 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
200 |
163 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
190 |
179 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
320 |
275 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
55 |
52 |
$4K |
| 85027 |
|
5,011 |
3,972 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
98 |
77 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,636 |
1,342 |
$2K |
| 83690 |
|
1,750 |
1,494 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,338 |
1,094 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
720 |
634 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
362 |
287 |
$1K |
| 84703 |
|
1,453 |
1,245 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,086 |
915 |
$883.24 |
| 87081 |
|
16 |
13 |
$841.87 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
290 |
254 |
$763.20 |
| 87807 |
|
23 |
23 |
$557.44 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,217 |
1,851 |
$455.02 |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
14 |
13 |
$431.36 |
| 83880 |
|
13 |
13 |
$324.66 |
| 84484 |
|
1,050 |
790 |
$282.97 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,533 |
1,296 |
$275.69 |
| 83735 |
|
744 |
604 |
$221.70 |
| 96376 |
|
76 |
53 |
$47.50 |
| 80179 |
|
412 |
373 |
$29.82 |
| 80143 |
|
417 |
375 |
$29.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
541 |
524 |
$18.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
171 |
157 |
$5.66 |
| 85610 |
|
199 |
163 |
$3.49 |
| 80076 |
|
43 |
38 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
40 |
$0.00 |
| J3490 |
Unclassified drugs |
13 |
13 |
$0.00 |
| 85730 |
|
53 |
41 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
14 |
$0.00 |
| 87040 |
|
41 |
26 |
$0.00 |
| 82550 |
|
25 |
24 |
$0.00 |
| 83605 |
|
51 |
41 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
169 |
147 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
154 |
113 |
$0.00 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
24 |
$0.00 |
| 85379 |
|
13 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
116 |
96 |
$0.00 |
| 86850 |
|
29 |
25 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
32 |
24 |
$0.00 |