| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,437 |
1,400 |
$534K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
576 |
412 |
$123K |
| A0425 |
Ground mileage, per statute mile |
1,566 |
1,051 |
$86K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
39 |
36 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$11K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
31 |
25 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$3K |
| 80053 |
Comprehensive metabolic panel |
591 |
522 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
679 |
595 |
$2K |
| A0398 |
Als routine disposable supplies |
20 |
16 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
32 |
31 |
$873.10 |
| A0382 |
Bls routine disposable supplies |
12 |
12 |
$545.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$535.70 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$392.95 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
14 |
$265.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
79 |
$164.50 |
| 81000 |
|
116 |
107 |
$144.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$55.74 |
| 36415 |
Collection of venous blood by venipuncture |
1,094 |
847 |
$11.50 |
| 83735 |
|
16 |
13 |
$6.43 |
| 84484 |
|
15 |
13 |
$0.00 |