| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,994 |
1,808 |
$426K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
715 |
626 |
$319K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,149 |
2,004 |
$309K |
| 80053 |
Comprehensive metabolic panel |
3,270 |
2,878 |
$136K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,110 |
3,555 |
$134K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,197 |
7,631 |
$74K |
| 36415 |
Collection of venous blood by venipuncture |
3,630 |
2,935 |
$50K |
| 87428 |
|
365 |
345 |
$23K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
226 |
224 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
316 |
307 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
413 |
384 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
124 |
109 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
116 |
102 |
$11K |
| 81001 |
|
603 |
553 |
$9K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,187 |
968 |
$9K |
| 87400 |
|
199 |
190 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
79 |
78 |
$6K |
| 85027 |
|
165 |
155 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
121 |
116 |
$5K |
| 80061 |
Lipid panel |
79 |
76 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
65 |
60 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
52 |
$4K |
| 84439 |
|
71 |
70 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
38 |
36 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
77 |
62 |
$2K |
| 94760 |
|
128 |
118 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
55 |
$2K |
| 87081 |
|
73 |
56 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$946.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$826.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20 |
14 |
$777.46 |
| 84484 |
|
14 |
13 |
$617.14 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$605.97 |
| 82607 |
|
13 |
12 |
$581.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
14 |
$394.53 |
| 87430 |
|
14 |
12 |
$368.60 |
| 86140 |
|
12 |
12 |
$334.05 |
| 83690 |
|
15 |
12 |
$325.70 |
| A9270 |
Non-covered item or service |
20 |
15 |
$0.00 |