| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4003 |
|
6,860 |
4,050 |
$2.86M |
| X4011 |
State-specific procedure code |
7,288 |
6,660 |
$1.45M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,220 |
2,902 |
$987K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,097 |
1,995 |
$445K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,983 |
2,869 |
$444K |
| 90870 |
|
3,502 |
1,429 |
$420K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,669 |
8,642 |
$332K |
| Y7506 |
|
7,788 |
4,060 |
$307K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
6,366 |
1,683 |
$292K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,649 |
2,435 |
$206K |
| 81001 |
|
3,138 |
3,010 |
$188K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,146 |
4,698 |
$169K |
| 80053 |
Comprehensive metabolic panel |
4,855 |
4,505 |
$162K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
6,375 |
1,686 |
$97K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,345 |
1,676 |
$96K |
| 81025 |
|
1,417 |
991 |
$76K |
| 36415 |
Collection of venous blood by venipuncture |
4,016 |
3,586 |
$66K |
| G0378 |
Hospital observation service, per hour |
233 |
190 |
$65K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
922 |
470 |
$43K |
| 83735 |
|
1,078 |
980 |
$21K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
63 |
57 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
309 |
288 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
147 |
138 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
417 |
388 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
231 |
222 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
209 |
196 |
$7K |
| 87276 |
|
113 |
111 |
$5K |
| 87275 |
|
115 |
112 |
$4K |
| 20610 |
|
27 |
27 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$2K |
| 85610 |
|
74 |
68 |
$2K |
| 82962 |
|
1,689 |
524 |
$2K |
| 85730 |
|
72 |
67 |
$2K |
| 93970 |
|
25 |
24 |
$2K |
| 84484 |
|
170 |
151 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$1K |
| 93925 |
|
15 |
14 |
$871.64 |
| J3490 |
Unclassified drugs |
12,036 |
6,563 |
$859.53 |
| 83605 |
|
114 |
94 |
$807.45 |
| 82550 |
|
151 |
131 |
$632.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
99 |
95 |
$493.21 |
| 73562 |
|
16 |
14 |
$441.58 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
14 |
$420.80 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$420.80 |
| 73565 |
|
14 |
14 |
$319.30 |
| 80061 |
Lipid panel |
78 |
77 |
$297.16 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
19 |
$213.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$167.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
48 |
44 |
$154.02 |
| 83690 |
|
26 |
25 |
$88.64 |
| 82607 |
|
12 |
12 |
$81.42 |
| 87070 |
|
12 |
12 |
$59.57 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
55 |
53 |
$12.08 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
2,399 |
1,016 |
$0.00 |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
17 |
13 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
29 |
27 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
27 |
$0.00 |
| 11721 |
|
41 |
39 |
$0.00 |
| C1780 |
Lens, intraocular (new technology) |
41 |
39 |
$0.00 |