| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
2,814 |
823 |
$680K |
| 36415 |
Collection of venous blood by venipuncture |
8,277 |
6,657 |
$271K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,077 |
937 |
$203K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,689 |
3,969 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
936 |
830 |
$130K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,106 |
1,863 |
$107K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,839 |
1,676 |
$107K |
| 86140 |
|
2,578 |
2,216 |
$97K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,769 |
1,630 |
$80K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
567 |
546 |
$57K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
238 |
218 |
$46K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,105 |
937 |
$38K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,767 |
674 |
$33K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
864 |
786 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,441 |
1,359 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
567 |
532 |
$23K |
| 87088 |
|
783 |
703 |
$23K |
| 81000 |
|
1,095 |
935 |
$20K |
| J7050 |
Infusion, normal saline solution, 250 cc |
258 |
201 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,411 |
1,267 |
$19K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
484 |
411 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
451 |
431 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
370 |
$9K |
| 85379 |
|
306 |
277 |
$8K |
| 80053 |
Comprehensive metabolic panel |
4,157 |
3,551 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
87 |
82 |
$7K |
| 87186 |
|
59 |
54 |
$6K |
| 84703 |
|
541 |
493 |
$6K |
| 80050 |
General health panel |
289 |
263 |
$5K |
| 81015 |
|
1,056 |
937 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
70 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
64 |
$4K |
| 81002 |
|
1,467 |
1,291 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
89 |
$3K |
| 73630 |
|
33 |
25 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
225 |
188 |
$2K |
| 97161 |
|
26 |
26 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
743 |
663 |
$2K |
| 80061 |
Lipid panel |
278 |
270 |
$2K |
| 86756 |
|
16 |
15 |
$1K |
| 83605 |
|
256 |
230 |
$895.25 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
48 |
24 |
$719.45 |
| 83690 |
|
155 |
135 |
$610.30 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
630 |
558 |
$590.07 |
| 82728 |
|
12 |
12 |
$336.64 |
| 84484 |
|
339 |
302 |
$294.89 |
| 83880 |
|
40 |
38 |
$206.87 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
176 |
164 |
$108.96 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$88.66 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
61 |
55 |
$0.00 |
| 94760 |
|
19 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
32 |
25 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
483 |
425 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
57 |
54 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
66 |
59 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
90 |
63 |
$0.00 |
| 94664 |
|
28 |
25 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$0.00 |
| 85007 |
|
14 |
13 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |