| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,204 |
4,925 |
$946K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,295 |
7,788 |
$553K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,408 |
3,292 |
$484K |
| 80053 |
Comprehensive metabolic panel |
6,522 |
6,126 |
$392K |
| X4011 |
State-specific procedure code |
1,254 |
1,139 |
$337K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
796 |
759 |
$94K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
977 |
905 |
$49K |
| 97597 |
|
302 |
128 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
233 |
202 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
555 |
513 |
$21K |
| 81003 |
|
186 |
174 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
45 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
44 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
181 |
132 |
$10K |
| 83690 |
|
88 |
85 |
$8K |
| 81025 |
|
54 |
51 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
100 |
99 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
63 |
60 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
13 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$2K |
| 84484 |
|
105 |
90 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
27 |
27 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
29 |
28 |
$975.48 |
| 85730 |
|
13 |
13 |
$945.73 |
| 85610 |
|
13 |
13 |
$938.37 |
| 83605 |
|
111 |
100 |
$602.70 |
| Y7506 |
|
23 |
12 |
$322.40 |
| 59025 |
Fetal non-stress test |
95 |
68 |
$291.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$48.24 |
| 83735 |
|
13 |
12 |
$44.13 |