| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0456 |
|
2,250 |
2,043 |
$82K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,924 |
1,703 |
$42K |
| 99221 |
|
1,353 |
1,222 |
$36K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,145 |
1,068 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
650 |
588 |
$22K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
18,850 |
1,656 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,945 |
1,765 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,351 |
2,147 |
$7K |
| 0760 |
|
214 |
191 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
276 |
273 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
537 |
520 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
205 |
185 |
$4K |
| Z7500 |
|
76 |
58 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,276 |
1,134 |
$2K |
| 80305 |
|
246 |
243 |
$1K |
| 81001 |
|
666 |
646 |
$1K |
| 0270 |
|
1,115 |
988 |
$905.91 |
| 0250 |
|
476 |
457 |
$792.51 |
| 0272 |
|
120 |
115 |
$672.49 |
| 86769 |
|
42 |
42 |
$634.63 |
| 84484 |
|
59 |
58 |
$530.58 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$517.47 |
| 99000 |
|
238 |
222 |
$504.85 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
54 |
51 |
$346.02 |
| 82553 |
|
37 |
37 |
$281.70 |
| 82550 |
|
38 |
38 |
$207.62 |
| 0710 |
|
12 |
12 |
$153.41 |
| 85730 |
|
28 |
27 |
$118.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
27 |
$79.70 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
73 |
71 |
$79.33 |
| 84443 |
Thyroid stimulating hormone (TSH) |
201 |
189 |
$74.73 |
| 87400 |
|
12 |
12 |
$56.24 |
| 80061 |
Lipid panel |
285 |
274 |
$51.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
279 |
272 |
$49.82 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12 |
12 |
$47.06 |
| 0637 |
|
78 |
76 |
$36.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$35.87 |
| 82140 |
|
142 |
136 |
$28.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
163 |
152 |
$28.05 |
| 80164 |
|
203 |
194 |
$22.90 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
120 |
111 |
$10.88 |
| A7002 |
Tubing, used with suction pump, each |
12 |
12 |
$2.68 |
| 94761 |
|
12 |
12 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
687 |
378 |
$0.00 |
| 84450 |
|
18 |
17 |
$0.00 |
| 86328 |
|
16 |
16 |
$0.00 |
| 99001 |
|
32 |
29 |
$0.00 |