| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
7,024 |
4,847 |
$87K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,180 |
1,574 |
$71K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,073 |
1,761 |
$55K |
| 87631 |
|
829 |
598 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
579 |
423 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,135 |
5,638 |
$45K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
238 |
171 |
$35K |
| A0425 |
Ground mileage, per statute mile |
257 |
207 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
1,928 |
1,340 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,381 |
1,617 |
$20K |
| 82553 |
|
1,224 |
753 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,649 |
1,165 |
$11K |
| 80061 |
Lipid panel |
1,235 |
1,059 |
$10K |
| 84484 |
|
1,366 |
813 |
$9K |
| 87400 |
|
1,825 |
749 |
$9K |
| 82550 |
|
1,271 |
783 |
$8K |
| 87430 |
|
751 |
560 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,314 |
1,073 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,449 |
3,647 |
$7K |
| 83735 |
|
1,394 |
981 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
98 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
406 |
338 |
$6K |
| 80050 |
General health panel |
107 |
99 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
496 |
430 |
$3K |
| 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 |
43 |
33 |
$3K |
| 81003 |
|
2,039 |
1,439 |
$3K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
54 |
48 |
$3K |
| 83880 |
|
113 |
87 |
$2K |
| 99307 |
|
331 |
232 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
423 |
300 |
$2K |
| 81000 |
|
811 |
624 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
24 |
$2K |
| 80305 |
|
224 |
153 |
$2K |
| 87428 |
|
89 |
50 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
294 |
178 |
$1K |
| 84439 |
|
95 |
87 |
$984.98 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
26 |
$952.55 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18 |
12 |
$817.08 |
| G0378 |
Hospital observation service, per hour |
135 |
40 |
$616.40 |
| 85610 |
|
330 |
227 |
$555.25 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
12 |
$547.66 |
| 71020 |
|
31 |
29 |
$442.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$423.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
294 |
$386.56 |
| T1015 |
Clinic visit/encounter, all-inclusive |
12 |
12 |
$352.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
21 |
16 |
$330.61 |
| 81025 |
|
35 |
31 |
$293.82 |
| 74019 |
|
22 |
12 |
$272.26 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$265.03 |
| 85027 |
|
60 |
39 |
$254.38 |
| 94760 |
|
45 |
24 |
$196.00 |
| 87186 |
|
40 |
36 |
$173.70 |
| 87088 |
|
28 |
14 |
$133.11 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
35 |
25 |
$115.77 |
| 86592 |
|
19 |
12 |
$105.32 |
| 85651 |
|
33 |
29 |
$91.80 |
| 82150 |
|
17 |
12 |
$85.68 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
39 |
$54.80 |
| 84436 |
|
14 |
12 |
$44.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
25 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
82 |
41 |
$0.00 |