| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
83 |
83 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17 |
13 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
21 |
20 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
26 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
25 |
$3K |
| 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 |
21 |
21 |
$2K |
| 80053 |
Comprehensive metabolic panel |
42 |
41 |
$722.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
55 |
53 |
$455.04 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$272.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$231.97 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
34 |
$199.60 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$145.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
16 |
$141.45 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
20 |
20 |
$122.76 |
| 81001 |
|
17 |
17 |
$120.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
14 |
$17.09 |