| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
239 |
238 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
258 |
256 |
$37K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
80 |
77 |
$35K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
426 |
380 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
419 |
371 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
659 |
341 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,091 |
1,924 |
$13K |
| 80053 |
Comprehensive metabolic panel |
770 |
716 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
212 |
195 |
$10K |
| 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 |
182 |
163 |
$10K |
| 0240U |
|
30 |
30 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
51 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
51 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
116 |
115 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
93 |
88 |
$1K |
| 87660 |
|
43 |
43 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 87634 |
|
13 |
12 |
$1K |
| 88304 |
|
12 |
12 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
14 |
$1K |
| 83655 |
|
39 |
39 |
$841.92 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$808.61 |
| 87210 |
|
133 |
82 |
$598.73 |
| 87480 |
|
43 |
43 |
$570.44 |
| 87510 |
|
43 |
43 |
$482.94 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
29 |
$384.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
35 |
$376.62 |
| 81000 |
|
107 |
104 |
$370.83 |
| 99070 |
|
96 |
91 |
$354.00 |
| 80061 |
Lipid panel |
34 |
34 |
$346.83 |
| 36415 |
Collection of venous blood by venipuncture |
7,900 |
6,921 |
$304.45 |
| 87420 |
|
14 |
14 |
$283.00 |
| 87070 |
|
18 |
18 |
$210.23 |
| 82950 |
|
13 |
13 |
$130.73 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$125.26 |
| 85018 |
|
40 |
40 |
$96.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$31.23 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
28 |
27 |
$31.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
46 |
43 |
$19.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
31 |
$15.76 |
| J2704 |
Injection, propofol, 10 mg |
58 |
56 |
$15.71 |
| 83721 |
|
34 |
34 |
$0.00 |
| 99000 |
|
26 |
26 |
$0.00 |