| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,687 |
4,027 |
$143K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
534 |
511 |
$8K |
| 73110 |
|
279 |
227 |
$5K |
| 80053 |
Comprehensive metabolic panel |
485 |
409 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
669 |
593 |
$2K |
| 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 |
109 |
108 |
$2K |
| 0510 |
|
46 |
43 |
$2K |
| 0450 |
Emergency room services |
553 |
485 |
$1K |
| 86328 |
|
76 |
66 |
$1K |
| 73130 |
|
48 |
40 |
$999.60 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
31 |
27 |
$856.98 |
| 59025 |
Fetal non-stress test |
44 |
14 |
$492.48 |
| 73610 |
|
32 |
25 |
$459.04 |
| 29700 |
|
117 |
95 |
$455.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
91 |
81 |
$347.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
102 |
93 |
$324.09 |
| 73562 |
|
17 |
13 |
$261.60 |
| 73630 |
|
17 |
12 |
$248.38 |
| 81001 |
|
169 |
144 |
$218.80 |
| 85027 |
|
63 |
55 |
$216.98 |
| 81002 |
|
73 |
55 |
$137.60 |
| 85610 |
|
44 |
39 |
$97.72 |
| 99070 |
|
412 |
240 |
$79.04 |
| 29085 |
|
15 |
12 |
$72.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$70.56 |
| 81025 |
|
52 |
46 |
$47.60 |
| 1036F |
|
950 |
888 |
$15.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
171 |
163 |
$5.00 |
| 3078F |
|
1,968 |
1,802 |
$0.00 |
| 3077F |
|
373 |
341 |
$0.00 |
| 99401 |
|
28 |
27 |
$0.00 |
| 99499 |
|
521 |
444 |
$0.00 |
| 0300 |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3079F |
|
709 |
647 |
$0.00 |
| 3075F |
|
269 |
257 |
$0.00 |
| 3074F |
|
2,099 |
1,919 |
$0.00 |
| 3044F |
|
99 |
73 |
$0.00 |
| 0270 |
|
283 |
173 |
$0.00 |
| 0301 |
|
15 |
14 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 99402 |
|
35 |
28 |
$0.00 |
| 0250 |
|
15 |
14 |
$0.00 |
| J3490 |
Unclassified drugs |
16 |
13 |
$0.00 |
| 0305 |
|
15 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |