| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
3,413 |
3,382 |
$39K |
| 01960 |
|
1,340 |
1,298 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,851 |
1,837 |
$18K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,381 |
3,877 |
$18K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
765 |
553 |
$14K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
838 |
836 |
$11K |
| 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 |
119 |
63 |
$9K |
| 43235 |
|
407 |
406 |
$8K |
| 62326 |
|
227 |
215 |
$7K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
121 |
119 |
$5K |
| 01961 |
|
49 |
49 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,028 |
216 |
$4K |
| 86481 |
|
48 |
47 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
760 |
418 |
$2K |
| 01991 |
|
161 |
143 |
$2K |
| 01480 |
|
13 |
12 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
43 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
116 |
114 |
$1K |
| 62323 |
|
174 |
173 |
$1K |
| 88307 |
|
85 |
70 |
$581.22 |
| 70450 |
Computed tomography, head or brain; without contrast material |
31 |
28 |
$439.36 |
| 99462 |
|
45 |
24 |
$381.08 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
275 |
275 |
$360.20 |
| 88304 |
|
49 |
49 |
$287.42 |
| 88342 |
|
114 |
101 |
$275.15 |
| 71010 |
|
27 |
15 |
$161.86 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$120.42 |
| 76000 |
|
12 |
12 |
$26.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
302 |
195 |
$11.07 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
24 |
24 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
78 |
78 |
$0.00 |
| 72275 |
|
195 |
192 |
$0.00 |