| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
17,590 |
14,733 |
$68K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,853 |
1,707 |
$48K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,775 |
1,647 |
$27K |
| 0760 |
|
220 |
196 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
624 |
607 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
623 |
552 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,804 |
5,046 |
$4K |
| 80053 |
Comprehensive metabolic panel |
5,426 |
4,660 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,810 |
1,739 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
594 |
535 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,061 |
1,026 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
388 |
259 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,052 |
2,799 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
808 |
794 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
330 |
236 |
$1K |
| 84484 |
|
2,072 |
1,895 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
160 |
159 |
$964.82 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
257 |
257 |
$946.16 |
| 0250 |
|
5,349 |
2,259 |
$906.68 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
324 |
243 |
$800.18 |
| 83880 |
|
822 |
796 |
$779.08 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
59 |
57 |
$603.01 |
| 81001 |
|
1,921 |
1,800 |
$480.46 |
| 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 |
150 |
146 |
$405.29 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
143 |
140 |
$360.95 |
| 83605 |
|
363 |
339 |
$352.65 |
| 85610 |
|
1,627 |
1,550 |
$320.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
471 |
467 |
$300.97 |
| 83735 |
|
1,275 |
883 |
$279.20 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
264 |
251 |
$258.12 |
| 72170 |
|
101 |
99 |
$257.91 |
| 71250 |
|
14 |
14 |
$239.15 |
| 80061 |
Lipid panel |
293 |
291 |
$230.90 |
| 85730 |
|
513 |
499 |
$142.03 |
| 86141 |
|
122 |
116 |
$140.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
63 |
62 |
$118.89 |
| G0378 |
Hospital observation service, per hour |
16 |
16 |
$98.17 |
| 83690 |
|
614 |
560 |
$97.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
81 |
$79.55 |
| 82607 |
|
55 |
55 |
$72.45 |
| 85651 |
|
182 |
178 |
$70.72 |
| 87088 |
|
473 |
459 |
$60.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
773 |
755 |
$58.74 |
| 73560 |
|
13 |
13 |
$54.89 |
| 94729 |
|
26 |
26 |
$53.04 |
| 94726 |
|
25 |
25 |
$52.94 |
| 84439 |
|
39 |
36 |
$51.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
28 |
$51.31 |
| 82948 |
|
363 |
272 |
$31.88 |
| 92557 |
|
14 |
14 |
$29.79 |
| 73030 |
|
13 |
12 |
$25.13 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
12 |
$24.88 |
| 94060 |
|
12 |
12 |
$24.78 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$16.20 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
42 |
41 |
$14.70 |
| 92550 |
|
12 |
12 |
$12.87 |
| 80069 |
|
13 |
12 |
$10.56 |
| 84100 |
|
81 |
60 |
$9.53 |
| 94664 |
|
40 |
40 |
$9.46 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
14 |
13 |
$0.90 |
| 36415 |
Collection of venous blood by venipuncture |
541 |
495 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
28 |
$0.00 |
| 87040 |
|
14 |
14 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
16 |
12 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$0.00 |