| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,297 |
871 |
$358K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,219 |
906 |
$207K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,196 |
846 |
$164K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
693 |
231 |
$66K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
739 |
193 |
$60K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
444 |
132 |
$37K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
58 |
58 |
$31K |
| X4011 |
State-specific procedure code |
163 |
134 |
$21K |
| Y7506 |
|
777 |
652 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
127 |
110 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
265 |
97 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
319 |
274 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,257 |
1,100 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
228 |
196 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
78 |
73 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
108 |
88 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,317 |
1,154 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
43 |
41 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
551 |
473 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
27 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
60 |
24 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
14 |
$1K |
| J3490 |
Unclassified drugs |
113 |
94 |
$931.45 |
| 94010 |
|
20 |
15 |
$684.06 |
| 83605 |
|
107 |
100 |
$634.77 |
| 84484 |
|
86 |
73 |
$603.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$529.22 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$344.19 |
| 81001 |
|
201 |
176 |
$297.33 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$266.59 |
| 82550 |
|
133 |
104 |
$224.12 |
| 83880 |
|
14 |
12 |
$157.00 |
| 87040 |
|
12 |
12 |
$106.12 |
| 86140 |
|
25 |
24 |
$83.67 |
| 81003 |
|
32 |
32 |
$50.16 |
| 83690 |
|
12 |
12 |
$26.73 |
| 85730 |
|
15 |
12 |
$15.99 |
| 85610 |
|
15 |
12 |
$10.47 |
| 36415 |
Collection of venous blood by venipuncture |
325 |
247 |
$0.00 |