| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
4,475 |
3,626 |
$400K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14,068 |
8,873 |
$381K |
| 16020 |
|
2,490 |
1,781 |
$257K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,745 |
3,993 |
$255K |
| 97535 |
Self-care/home management training, each 15 minutes |
3,685 |
2,695 |
$186K |
| 36415 |
Collection of venous blood by venipuncture |
1,112 |
976 |
$141K |
| 81001 |
|
3,707 |
3,144 |
$74K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,084 |
2,617 |
$73K |
| 15002 |
|
504 |
424 |
$54K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
546 |
493 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
484 |
429 |
$34K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
963 |
723 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,056 |
795 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,906 |
1,615 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
552 |
477 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,527 |
2,741 |
$17K |
| 97162 |
|
841 |
735 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
381 |
332 |
$17K |
| Q4100 |
Skin substitute, not otherwise specified |
1,211 |
1,023 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,225 |
950 |
$14K |
| 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 |
94 |
78 |
$14K |
| 81025 |
|
2,351 |
2,005 |
$14K |
| G0378 |
Hospital observation service, per hour |
908 |
691 |
$13K |
| 15004 |
|
207 |
179 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,140 |
1,661 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
246 |
$12K |
| 97168 |
|
546 |
485 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
418 |
340 |
$9K |
| 83690 |
|
1,818 |
1,521 |
$8K |
| 87077 |
|
305 |
242 |
$8K |
| 85027 |
|
6,541 |
4,890 |
$8K |
| 97166 |
|
536 |
482 |
$7K |
| 0479T |
|
130 |
119 |
$4K |
| 97165 |
|
200 |
179 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,709 |
1,322 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
142 |
121 |
$3K |
| J3490 |
Unclassified drugs |
1,330 |
1,087 |
$3K |
| 84484 |
|
921 |
599 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
475 |
372 |
$3K |
| C5273 |
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
38 |
37 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
343 |
270 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
12 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,065 |
1,643 |
$2K |
| 87070 |
|
68 |
53 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
65 |
$1K |
| 97161 |
|
79 |
69 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
38 |
$984.91 |
| 97164 |
|
59 |
54 |
$875.86 |
| J7050 |
Infusion, normal saline solution, 250 cc |
51 |
36 |
$683.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$430.47 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
48 |
$325.02 |
| 84703 |
|
33 |
29 |
$261.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$250.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
489 |
375 |
$232.64 |
| 83880 |
|
94 |
66 |
$154.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,049 |
682 |
$139.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
850 |
553 |
$120.60 |
| 87186 |
|
218 |
170 |
$90.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
93 |
$86.27 |
| 86850 |
|
179 |
151 |
$80.10 |
| 82247 |
|
18 |
13 |
$56.30 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
24 |
$53.41 |
| 85610 |
|
875 |
665 |
$47.81 |
| 86900 |
|
185 |
157 |
$34.87 |
| 85730 |
|
762 |
564 |
$31.27 |
| 86901 |
|
185 |
157 |
$25.23 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,330 |
1,038 |
$15.26 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,290 |
941 |
$8.23 |
| 87205 |
|
48 |
40 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
60 |
54 |
$0.00 |
| 87490 |
|
14 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
436 |
341 |
$0.00 |
| 82550 |
|
36 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
399 |
126 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
51 |
49 |
$0.00 |
| 83735 |
|
109 |
66 |
$0.00 |
| 15275 |
|
73 |
69 |
$0.00 |
| A6208 |
Contact layer, sterile, more than 48 sq. in., each dressing |
253 |
168 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
14 |
13 |
$0.00 |
| 87590 |
|
14 |
12 |
$0.00 |
| 83605 |
|
22 |
13 |
$0.00 |
| 15271 |
|
12 |
12 |
$0.00 |
| 96376 |
|
19 |
13 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
240 |
116 |
$0.00 |
| 97760 |
|
18 |
13 |
$0.00 |
| 85007 |
|
13 |
13 |
$0.00 |
| C5275 |
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
27 |
25 |
$0.00 |
| 15274 |
|
22 |
14 |
$0.00 |
| 15273 |
|
27 |
26 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$0.00 |