| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
306 |
197 |
$179K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
249 |
180 |
$75K |
| 80053 |
Comprehensive metabolic panel |
1,803 |
1,469 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,046 |
1,630 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
800 |
431 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
645 |
604 |
$27K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
160 |
108 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
229 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
2,654 |
2,052 |
$18K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
62 |
53 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
24 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
60 |
14 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
150 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
93 |
$2K |
| 81003 |
|
177 |
161 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
39 |
$1K |
| 83690 |
|
17 |
13 |
$979.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
24 |
$868.12 |
| J3490 |
Unclassified drugs |
33 |
28 |
$827.55 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
12 |
$639.35 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
12 |
$592.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
24 |
$574.52 |
| 81001 |
|
31 |
26 |
$466.19 |
| 85610 |
|
20 |
12 |
$163.31 |