| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
912 |
816 |
$1.62M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,483 |
8,998 |
$428K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,705 |
8,090 |
$384K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,367 |
2,153 |
$216K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,162 |
2,999 |
$140K |
| 80053 |
Comprehensive metabolic panel |
11,700 |
9,719 |
$124K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,075 |
465 |
$111K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,945 |
9,369 |
$70K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,342 |
2,137 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,052 |
974 |
$38K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
115 |
108 |
$37K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
99 |
96 |
$36K |
| 81000 |
|
7,254 |
6,303 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
578 |
523 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
1,910 |
1,642 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
13,379 |
11,313 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,100 |
888 |
$12K |
| 80306 |
|
801 |
707 |
$12K |
| 84703 |
|
900 |
730 |
$10K |
| 83735 |
|
1,042 |
885 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
154 |
131 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
375 |
327 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
64 |
62 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,193 |
1,471 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
162 |
42 |
$5K |
| 94726 |
|
40 |
39 |
$5K |
| 83690 |
|
730 |
592 |
$5K |
| 87088 |
|
504 |
448 |
$4K |
| 87420 |
|
314 |
302 |
$4K |
| 86141 |
|
828 |
729 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
105 |
94 |
$4K |
| 87430 |
|
284 |
269 |
$3K |
| 82150 |
|
317 |
281 |
$3K |
| 85610 |
|
517 |
447 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
171 |
162 |
$3K |
| 99070 |
|
616 |
387 |
$2K |
| 85730 |
|
405 |
353 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
112 |
$2K |
| 93041 |
|
780 |
669 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30 |
26 |
$2K |
| G0378 |
Hospital observation service, per hour |
21 |
18 |
$2K |
| 94729 |
|
43 |
41 |
$2K |
| 94060 |
|
45 |
43 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
17 |
$1K |
| 85027 |
|
173 |
149 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
110 |
91 |
$955.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,360 |
1,147 |
$930.82 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
13 |
$862.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
669 |
539 |
$857.02 |
| 84484 |
|
129 |
101 |
$845.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
46 |
$703.25 |
| 80320 |
|
40 |
38 |
$671.73 |
| 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 |
168 |
122 |
$652.85 |
| 88300 |
|
93 |
91 |
$579.08 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
842 |
741 |
$547.03 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$546.57 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,241 |
1,069 |
$487.31 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
12 |
$478.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,346 |
1,158 |
$434.83 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
816 |
610 |
$403.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
147 |
121 |
$365.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
32 |
$364.58 |
| J2704 |
Injection, propofol, 10 mg |
1,423 |
1,203 |
$334.04 |
| 87040 |
|
31 |
27 |
$300.08 |
| 90834 |
Psychotherapy, 45 minutes with patient |
93 |
37 |
$204.29 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$180.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
713 |
494 |
$159.22 |
| 85007 |
|
87 |
73 |
$143.53 |
| 87186 |
|
19 |
18 |
$123.24 |
| 87077 |
|
15 |
15 |
$85.50 |
| 85379 |
|
16 |
13 |
$84.39 |
| 80061 |
Lipid panel |
15 |
12 |
$70.28 |
| 82565 |
|
14 |
13 |
$57.46 |
| 84520 |
|
14 |
13 |
$44.40 |
| 82962 |
|
26 |
15 |
$31.59 |
| J7050 |
Infusion, normal saline solution, 250 cc |
105 |
76 |
$23.78 |
| 94760 |
|
36 |
13 |
$21.84 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
48 |
44 |
$16.61 |
| A9270 |
Non-covered item or service |
577 |
306 |
$16.23 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
290 |
212 |
$1.34 |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
45 |
40 |
$0.00 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
44 |
27 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
40 |
34 |
$0.00 |
| 36591 |
|
37 |
27 |
$0.00 |