| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,507 |
6,305 |
$1.03M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,590 |
3,281 |
$699K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,988 |
1,920 |
$235K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,784 |
2,589 |
$143K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
228 |
221 |
$88K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
426 |
393 |
$31K |
| 80053 |
Comprehensive metabolic panel |
2,772 |
2,573 |
$28K |
| 99070 |
|
1,462 |
1,346 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,961 |
2,690 |
$21K |
| J3490 |
Unclassified drugs |
2,004 |
1,319 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
30 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
146 |
145 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
30 |
27 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
58 |
50 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
14 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
40 |
$4K |
| 80061 |
Lipid panel |
302 |
299 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
268 |
261 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
60 |
30 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
28 |
26 |
$2K |
| 0001A |
|
84 |
84 |
$2K |
| 81001 |
|
229 |
219 |
$2K |
| Z7502 |
|
39 |
38 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
113 |
97 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
27 |
27 |
$1K |
| 81025 |
|
333 |
321 |
$931.03 |
| 81002 |
|
223 |
217 |
$835.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
74 |
73 |
$631.96 |
| 0450 |
Emergency room services |
12 |
12 |
$549.79 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$486.24 |
| 0004A |
|
12 |
12 |
$480.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
14 |
$422.10 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$405.47 |
| Z7610 |
|
19 |
13 |
$236.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$79.66 |
| 81003 |
|
25 |
25 |
$49.00 |