| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,617 |
4,959 |
$1.70M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,317 |
1,603 |
$440K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,856 |
1,287 |
$424K |
| 80053 |
Comprehensive metabolic panel |
4,444 |
3,484 |
$117K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
418 |
257 |
$116K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,471 |
3,486 |
$94K |
| 36415 |
Collection of venous blood by venipuncture |
7,573 |
5,754 |
$62K |
| J3490 |
Unclassified drugs |
4,174 |
2,056 |
$50K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
281 |
219 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
967 |
790 |
$49K |
| 80061 |
Lipid panel |
774 |
629 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,874 |
607 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
606 |
494 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
14 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
584 |
323 |
$16K |
| 87631 |
|
36 |
30 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
159 |
130 |
$13K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
114 |
85 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
112 |
78 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
100 |
86 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17 |
12 |
$5K |
| 81001 |
|
472 |
365 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
35 |
27 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
215 |
203 |
$4K |
| 0012A |
|
423 |
337 |
$4K |
| 0011A |
|
448 |
336 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
193 |
151 |
$4K |
| 0002A |
|
295 |
237 |
$3K |
| 0001A |
|
329 |
251 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
19 |
12 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
141 |
115 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
343 |
263 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
34 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
26 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
107 |
77 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
46 |
$1K |
| 80305 |
|
18 |
12 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
32 |
25 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$1K |
| 83690 |
|
15 |
12 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
43 |
42 |
$929.79 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
87 |
66 |
$819.09 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
69 |
43 |
$808.31 |
| 87339 |
|
21 |
13 |
$645.06 |
| 83605 |
|
16 |
13 |
$514.08 |
| 0064A |
|
87 |
54 |
$465.20 |
| 84484 |
|
15 |
12 |
$458.55 |
| 85730 |
|
23 |
17 |
$420.01 |
| 83735 |
|
20 |
15 |
$349.58 |
| 85610 |
|
24 |
18 |
$236.28 |
| 0134A |
|
17 |
15 |
$207.60 |
| 0004A |
|
26 |
18 |
$163.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
13 |
$100.52 |
| 81002 |
|
19 |
13 |
$100.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$88.77 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
28 |
16 |
$44.55 |
| 99441 |
|
33 |
13 |
$8.80 |
| A0425 |
Ground mileage, per statute mile |
321 |
246 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
260 |
199 |
$0.00 |