| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
6,192 |
5,821 |
$1.73M |
| Y7506 |
|
6,497 |
6,023 |
$1.54M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,423 |
16,192 |
$1.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,466 |
7,065 |
$1.10M |
| 80053 |
Comprehensive metabolic panel |
16,249 |
15,197 |
$710K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,114 |
2,968 |
$679K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,263 |
2,127 |
$636K |
| 80047 |
|
1,857 |
1,734 |
$456K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,051 |
3,646 |
$251K |
| 80076 |
|
1,042 |
974 |
$248K |
| 71045 |
Radiologic examination, chest; single view |
3,523 |
3,321 |
$207K |
| 83690 |
|
3,627 |
3,409 |
$172K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
868 |
827 |
$138K |
| 84703 |
|
779 |
727 |
$88K |
| 85610 |
|
2,126 |
1,961 |
$75K |
| 84484 |
|
2,306 |
2,039 |
$72K |
| 36415 |
Collection of venous blood by venipuncture |
1,009 |
829 |
$70K |
| G0378 |
Hospital observation service, per hour |
274 |
246 |
$68K |
| 85730 |
|
2,112 |
1,975 |
$65K |
| 81001 |
|
680 |
632 |
$65K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,205 |
1,133 |
$65K |
| 83880 |
|
968 |
919 |
$41K |
| 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 |
992 |
910 |
$40K |
| 81003 |
|
233 |
218 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
174 |
164 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
83 |
$30K |
| 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 |
446 |
414 |
$29K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
212 |
210 |
$20K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
420 |
390 |
$19K |
| 99999 |
|
687 |
141 |
$16K |
| 82550 |
|
416 |
380 |
$13K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
903 |
827 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
192 |
172 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
220 |
211 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
237 |
$8K |
| Y7507 |
|
12 |
12 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13 |
13 |
$6K |
| X4006 |
|
23 |
17 |
$4K |
| 83735 |
|
652 |
614 |
$3K |
| 84702 |
|
161 |
158 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
82 |
80 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$927.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$901.07 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$775.70 |
| 83605 |
|
101 |
94 |
$657.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
58 |
55 |
$625.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
38 |
$517.57 |
| 85379 |
|
38 |
38 |
$346.68 |
| J3490 |
Unclassified drugs |
210 |
95 |
$270.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
52 |
52 |
$170.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
14 |
$150.47 |
| 87040 |
|
15 |
13 |
$137.78 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
67 |
49 |
$94.50 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
53 |
42 |
$63.18 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
37 |
27 |
$55.45 |
| 82962 |
|
37 |
17 |
$10.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
75 |
53 |
$0.00 |
| A9270 |
Non-covered item or service |
491 |
76 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
25 |
15 |
$0.00 |
| 96376 |
|
23 |
12 |
$0.00 |