| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,225 |
985 |
$29K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,877 |
537 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,283 |
992 |
$8K |
| 80053 |
Comprehensive metabolic panel |
3,911 |
3,038 |
$8K |
| J3490 |
Unclassified drugs |
2,347 |
987 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
122 |
97 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
864 |
259 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
690 |
636 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
203 |
161 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
276 |
249 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,098 |
3,193 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
35 |
14 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
318 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,597 |
4,134 |
$1K |
| 87070 |
|
600 |
543 |
$837.09 |
| 81001 |
|
1,820 |
1,437 |
$755.21 |
| 87807 |
|
312 |
218 |
$581.41 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
380 |
328 |
$339.34 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
79 |
53 |
$141.30 |
| 80305 |
|
94 |
56 |
$136.78 |
| 87400 |
|
36 |
33 |
$127.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
309 |
291 |
$60.35 |
| 80061 |
Lipid panel |
227 |
213 |
$43.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
12 |
$41.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
247 |
218 |
$31.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
52 |
$21.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
36 |
$21.31 |
| 87430 |
|
22 |
20 |
$19.50 |
| 87186 |
|
27 |
24 |
$18.68 |
| 87077 |
|
26 |
24 |
$17.46 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
45 |
38 |
$8.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,132 |
914 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
12 |
$0.00 |
| 85027 |
|
42 |
30 |
$0.00 |
| 84484 |
|
27 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
108 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
28 |
$0.00 |