| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
755 |
481 |
$24K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
935 |
228 |
$21K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
187 |
110 |
$9K |
| 80053 |
Comprehensive metabolic panel |
1,391 |
1,106 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,993 |
1,500 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,063 |
2,314 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
12 |
$1K |
| 86140 |
|
370 |
271 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
26 |
$1K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
21 |
18 |
$1K |
| J3490 |
Unclassified drugs |
421 |
182 |
$999.39 |
| 87430 |
|
73 |
66 |
$877.50 |
| 84443 |
Thyroid stimulating hormone (TSH) |
178 |
161 |
$682.20 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
149 |
138 |
$525.46 |
| 87400 |
|
31 |
24 |
$338.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$283.50 |
| 83605 |
|
17 |
12 |
$257.40 |
| 85027 |
|
124 |
97 |
$232.07 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
96 |
76 |
$156.60 |
| 87081 |
|
58 |
51 |
$93.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
12 |
$18.41 |
| 81001 |
|
17 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
57 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
15 |
$0.00 |
| 80061 |
Lipid panel |
14 |
12 |
$0.00 |