| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
6,882 |
6,437 |
$2.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,170 |
11,064 |
$2.21M |
| X4011 |
State-specific procedure code |
8,052 |
7,413 |
$1.36M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,578 |
9,029 |
$1.23M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,323 |
20,038 |
$1.14M |
| 80053 |
Comprehensive metabolic panel |
19,647 |
17,853 |
$1.05M |
| Y7507 |
|
1,495 |
1,387 |
$613K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,836 |
4,347 |
$518K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,838 |
9,600 |
$468K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,194 |
4,955 |
$385K |
| 71045 |
Radiologic examination, chest; single view |
6,430 |
5,819 |
$332K |
| 81001 |
|
7,623 |
7,056 |
$264K |
| 83690 |
|
5,638 |
5,144 |
$247K |
| 84703 |
|
4,251 |
3,897 |
$242K |
| 82803 |
|
3,344 |
3,030 |
$165K |
| 84484 |
|
7,231 |
6,105 |
$136K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
373 |
347 |
$133K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,256 |
1,233 |
$120K |
| 83735 |
|
6,523 |
5,949 |
$114K |
| 85610 |
|
5,479 |
4,956 |
$114K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
533 |
495 |
$111K |
| 87400 |
|
743 |
570 |
$96K |
| 82150 |
|
871 |
795 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,680 |
6,462 |
$87K |
| 81003 |
|
1,692 |
1,548 |
$86K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,151 |
1,941 |
$80K |
| J3490 |
Unclassified drugs |
5,789 |
4,430 |
$71K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,033 |
951 |
$69K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,678 |
5,208 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,440 |
2,511 |
$56K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,362 |
1,218 |
$52K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,783 |
1,684 |
$42K |
| 83880 |
|
1,710 |
1,537 |
$41K |
| X4006 |
|
52 |
43 |
$40K |
| 87428 |
|
1,685 |
1,541 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
587 |
523 |
$25K |
| 62323 |
|
101 |
95 |
$22K |
| 87807 |
|
273 |
265 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
221 |
202 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
56 |
50 |
$19K |
| 83605 |
|
2,315 |
1,989 |
$16K |
| 84145 |
|
1,153 |
1,043 |
$15K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$14K |
| 80306 |
|
534 |
488 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,879 |
2,616 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
239 |
222 |
$11K |
| 87070 |
|
695 |
674 |
$11K |
| 87040 |
|
216 |
167 |
$9K |
| 86900 |
|
114 |
112 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
130 |
121 |
$8K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
141 |
137 |
$7K |
| 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 |
390 |
375 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
283 |
274 |
$6K |
| 87186 |
|
60 |
53 |
$5K |
| 82077 |
|
564 |
501 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
101 |
59 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
613 |
601 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
415 |
383 |
$4K |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
605 |
575 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
82 |
78 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
83 |
78 |
$4K |
| 85027 |
|
884 |
788 |
$4K |
| 86850 |
|
117 |
112 |
$4K |
| 87205 |
|
14 |
12 |
$3K |
| 80061 |
Lipid panel |
237 |
235 |
$2K |
| 86901 |
|
114 |
112 |
$2K |
| 80164 |
|
218 |
211 |
$2K |
| 85730 |
|
849 |
747 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
84 |
78 |
$2K |
| 82962 |
|
102 |
79 |
$2K |
| 82550 |
|
14 |
14 |
$2K |
| 82553 |
|
12 |
12 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
14 |
$1K |
| 83655 |
|
101 |
95 |
$806.27 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
38 |
38 |
$638.46 |
| 85379 |
|
107 |
93 |
$485.12 |
| 80143 |
|
29 |
28 |
$360.39 |
| 80179 |
|
30 |
28 |
$360.39 |
| 86780 |
|
26 |
26 |
$327.32 |
| 94060 |
|
12 |
12 |
$306.96 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
97 |
90 |
$306.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$280.00 |
| 71250 |
|
12 |
12 |
$266.93 |
| 86803 |
|
25 |
25 |
$198.76 |
| 84480 |
|
14 |
14 |
$159.50 |
| 86141 |
|
12 |
12 |
$128.17 |
| 84436 |
|
14 |
14 |
$77.25 |
| 85018 |
|
46 |
44 |
$64.44 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
152 |
106 |
$51.02 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
29 |
25 |
$16.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$2.10 |
| 94726 |
|
12 |
12 |
$0.00 |
| 59025 |
Fetal non-stress test |
17 |
13 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |