| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,639 |
1,586 |
$777K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,479 |
2,410 |
$596K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
250 |
223 |
$102K |
| 71045 |
Radiologic examination, chest; single view |
596 |
570 |
$55K |
| 87428 |
|
899 |
887 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
802 |
796 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
167 |
166 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,428 |
1,269 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,524 |
1,361 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
166 |
147 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
65 |
50 |
$5K |
| 76818 |
|
18 |
12 |
$4K |
| 81001 |
|
840 |
806 |
$2K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
224 |
220 |
$1K |
| 87807 |
|
30 |
28 |
$974.25 |
| 59025 |
Fetal non-stress test |
83 |
57 |
$918.62 |
| 83690 |
|
58 |
56 |
$312.82 |
| 87430 |
|
14 |
13 |
$280.95 |
| 84484 |
|
55 |
50 |
$229.87 |
| 82728 |
|
14 |
14 |
$216.82 |
| 81025 |
|
27 |
26 |
$173.88 |
| 83735 |
|
40 |
37 |
$166.97 |
| 83880 |
|
13 |
13 |
$158.30 |
| 83550 |
|
14 |
14 |
$139.01 |
| 83540 |
|
14 |
14 |
$102.89 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$98.25 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
40 |
39 |
$93.56 |
| 85730 |
|
13 |
13 |
$70.05 |
| 85610 |
|
13 |
13 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,798 |
1,494 |
$25.48 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$0.00 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$0.00 |