| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
295 |
212 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
139 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
287 |
247 |
$6K |
| 81001 |
|
140 |
116 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
52 |
46 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
89 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
16 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
34 |
$1K |
| 80053 |
Comprehensive metabolic panel |
166 |
132 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
133 |
101 |
$864.75 |
| 73564 |
|
16 |
13 |
$800.76 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
245 |
191 |
$652.69 |
| 81003 |
|
53 |
40 |
$644.75 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
58 |
43 |
$599.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
139 |
114 |
$413.27 |
| T1015 |
Clinic visit/encounter, all-inclusive |
61 |
44 |
$408.47 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$349.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
23 |
20 |
$332.88 |
| 81025 |
|
48 |
42 |
$314.28 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
118 |
88 |
$222.31 |
| 84484 |
|
36 |
24 |
$204.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
255 |
194 |
$200.06 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
18 |
$192.30 |
| 80061 |
Lipid panel |
20 |
17 |
$80.72 |
| 82947 |
|
14 |
14 |
$72.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
37 |
$33.51 |
| 83690 |
|
55 |
47 |
$15.03 |
| 85610 |
|
27 |
19 |
$8.27 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
149 |
122 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
33 |
$0.00 |
| 85027 |
|
42 |
34 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
64 |
57 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
19 |
14 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
18 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
50 |
47 |
$0.00 |
| 83735 |
|
17 |
15 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
17 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
111 |
88 |
$0.00 |
| 85007 |
|
24 |
17 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
25 |
19 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
88 |
65 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
58 |
49 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
20 |
15 |
$0.00 |