| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,423 |
16,746 |
$3.47M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,202 |
6,261 |
$1.75M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,290 |
1,947 |
$238K |
| 80050 |
General health panel |
4,426 |
3,891 |
$172K |
| 80061 |
Lipid panel |
8,941 |
7,703 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,057 |
2,588 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,548 |
1,359 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,306 |
2,262 |
$64K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,628 |
2,319 |
$62K |
| 80053 |
Comprehensive metabolic panel |
8,823 |
7,364 |
$61K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,358 |
4,654 |
$40K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,054 |
845 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,061 |
5,907 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
546 |
488 |
$32K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
153 |
129 |
$31K |
| 84439 |
|
4,031 |
3,519 |
$30K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
263 |
226 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
9,671 |
7,355 |
$19K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
95 |
87 |
$15K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
33 |
31 |
$13K |
| 81001 |
|
5,957 |
4,783 |
$12K |
| 84481 |
|
1,025 |
943 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
875 |
798 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
208 |
175 |
$9K |
| 81000 |
|
3,167 |
2,737 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
136 |
124 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
522 |
464 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
49 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
813 |
619 |
$6K |
| 85027 |
|
675 |
611 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
12 |
$4K |
| 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 |
28 |
26 |
$3K |
| 82043 |
|
716 |
548 |
$2K |
| 87081 |
|
400 |
353 |
$2K |
| 81025 |
|
299 |
268 |
$2K |
| 82570 |
|
637 |
476 |
$2K |
| 82728 |
|
175 |
132 |
$2K |
| 84484 |
|
213 |
167 |
$1K |
| 86803 |
|
113 |
109 |
$1K |
| 82553 |
|
231 |
180 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
213 |
163 |
$1K |
| 83540 |
|
235 |
182 |
$1K |
| 82550 |
|
246 |
194 |
$958.71 |
| 86701 |
|
117 |
106 |
$939.61 |
| 83721 |
|
168 |
159 |
$892.50 |
| 86318 |
|
64 |
61 |
$852.55 |
| 83525 |
|
47 |
43 |
$422.91 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
47 |
42 |
$366.30 |
| 86756 |
|
16 |
16 |
$254.24 |
| 82607 |
|
12 |
12 |
$135.72 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
18 |
14 |
$135.48 |
| 82746 |
|
12 |
12 |
$132.30 |
| 83605 |
|
14 |
12 |
$104.13 |
| 83735 |
|
13 |
12 |
$67.00 |
| 00000 |
|
34 |
25 |
$0.00 |