| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
4,706 |
2,194 |
$2.24M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,671 |
2,213 |
$60K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,317 |
1,111 |
$50K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,389 |
1,206 |
$36K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
322 |
292 |
$33K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,649 |
1,404 |
$24K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
879 |
728 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
137 |
122 |
$8K |
| 80050 |
General health panel |
132 |
127 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
760 |
646 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
355 |
284 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
287 |
254 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,385 |
1,114 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
777 |
646 |
$5K |
| 80053 |
Comprehensive metabolic panel |
2,411 |
2,022 |
$4K |
| 81001 |
|
1,141 |
1,008 |
$3K |
| 84702 |
|
386 |
335 |
$3K |
| 0011A |
|
96 |
88 |
$2K |
| 0012A |
|
93 |
78 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
37 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
138 |
115 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
212 |
183 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
145 |
131 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
239 |
204 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
41 |
$874.68 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
614 |
531 |
$627.61 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
449 |
409 |
$574.07 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
27 |
$513.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
95 |
92 |
$499.65 |
| 0031A |
|
30 |
25 |
$497.28 |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$412.91 |
| 87081 |
|
17 |
17 |
$327.23 |
| 91301 |
|
18 |
12 |
$241.58 |
| 83605 |
|
447 |
364 |
$118.09 |
| 83690 |
|
489 |
426 |
$110.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$96.82 |
| 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 |
14 |
14 |
$63.95 |
| 84484 |
|
214 |
181 |
$17.03 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$4.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
459 |
338 |
$0.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
294 |
262 |
$0.24 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
116 |
80 |
$0.24 |
| J2704 |
Injection, propofol, 10 mg |
743 |
432 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
109 |
100 |
$0.00 |
| 86140 |
|
29 |
24 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
54 |
41 |
$0.00 |