| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 8888888 |
Internal/system code - not a standard HCPCS code |
22,997 |
10,843 |
$9.23M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,110 |
8,239 |
$345K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,785 |
4,893 |
$262K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,762 |
5,118 |
$236K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,633 |
1,526 |
$204K |
| 80050 |
General health panel |
1,299 |
1,174 |
$115K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,257 |
6,335 |
$115K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
781 |
662 |
$107K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,583 |
1,444 |
$79K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,084 |
3,435 |
$75K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,271 |
975 |
$71K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,599 |
4,022 |
$59K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,058 |
3,466 |
$54K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,326 |
1,838 |
$39K |
| J2704 |
Injection, propofol, 10 mg |
2,532 |
2,180 |
$39K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,547 |
4,293 |
$34K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,284 |
2,807 |
$33K |
| 81001 |
|
5,352 |
4,669 |
$32K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,692 |
1,957 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,230 |
1,094 |
$29K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,896 |
1,658 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,397 |
1,269 |
$26K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
674 |
601 |
$23K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,129 |
920 |
$23K |
| 80053 |
Comprehensive metabolic panel |
8,732 |
7,268 |
$22K |
| 85027 |
|
726 |
650 |
$21K |
| 82330 |
|
1,188 |
1,045 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,961 |
1,760 |
$20K |
| 84702 |
|
2,918 |
2,589 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
598 |
558 |
$18K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,583 |
1,310 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,367 |
3,777 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
513 |
279 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
218 |
214 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
296 |
284 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
371 |
279 |
$14K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,506 |
1,233 |
$13K |
| J2060 |
Injection, lorazepam, 2 mg |
848 |
682 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,723 |
1,557 |
$11K |
| 96376 |
|
960 |
831 |
$11K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,476 |
1,117 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,784 |
1,555 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
401 |
366 |
$8K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,959 |
1,666 |
$8K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
789 |
632 |
$7K |
| 83690 |
|
3,407 |
2,940 |
$6K |
| 84484 |
|
2,329 |
1,977 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,788 |
1,525 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
749 |
647 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
67 |
62 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
167 |
149 |
$4K |
| 86901 |
|
41 |
39 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
475 |
403 |
$3K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
646 |
535 |
$3K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
859 |
746 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,651 |
1,493 |
$2K |
| 87186 |
|
249 |
218 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
52 |
$2K |
| 83605 |
|
2,443 |
2,030 |
$2K |
| 85610 |
|
598 |
503 |
$2K |
| 81025 |
|
44 |
41 |
$1K |
| 76830 |
Ultrasound, transvaginal |
120 |
116 |
$1K |
| 97161 |
|
14 |
14 |
$1K |
| 93971 |
|
41 |
39 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
372 |
344 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
298 |
259 |
$987.95 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
29 |
28 |
$758.76 |
| 85379 |
|
850 |
774 |
$703.82 |
| 86140 |
|
395 |
335 |
$642.86 |
| 73610 |
|
27 |
24 |
$510.65 |
| 73630 |
|
13 |
12 |
$462.71 |
| 76770 |
|
15 |
13 |
$401.78 |
| 82247 |
|
50 |
24 |
$319.10 |
| 87088 |
|
171 |
154 |
$268.94 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
47 |
43 |
$253.12 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
19 |
13 |
$238.87 |
| 73562 |
|
16 |
13 |
$218.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
33 |
$218.23 |
| 76801 |
|
14 |
12 |
$205.34 |
| 82803 |
|
270 |
238 |
$158.56 |
| 83735 |
|
488 |
340 |
$121.90 |
| 90715 |
|
13 |
12 |
$80.00 |
| 83880 |
|
52 |
45 |
$57.37 |
| J3490 |
Unclassified drugs |
14 |
12 |
$55.36 |
| 82248 |
|
20 |
16 |
$50.18 |
| 86850 |
|
12 |
12 |
$46.86 |
| 84439 |
|
28 |
27 |
$36.88 |
| 80061 |
Lipid panel |
13 |
12 |
$33.26 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
171 |
155 |
$26.87 |
| 82728 |
|
48 |
45 |
$23.02 |
| 84703 |
|
527 |
486 |
$18.94 |
| 87040 |
|
131 |
95 |
$13.90 |
| 85651 |
|
104 |
82 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
61 |
53 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
25 |
$0.00 |
| 87070 |
|
16 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
79 |
$0.00 |
| 84478 |
|
15 |
13 |
$0.00 |
| 90686 |
|
23 |
21 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |
| 83615 |
|
16 |
14 |
$0.00 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
18 |
13 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
18 |
12 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
45 |
42 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
24 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
59 |
55 |
$0.00 |