| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
1,133 |
924 |
$72K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
843 |
801 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
359 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,280 |
670 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
213 |
$6K |
| 99201 |
|
127 |
127 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
123 |
65 |
$2K |
| 93000 |
|
236 |
209 |
$1K |
| 77066 |
Tomosynthesis, mammo |
24 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
211 |
148 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
146 |
144 |
$1K |
| 80053 |
Comprehensive metabolic panel |
84 |
83 |
$807.38 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
81 |
72 |
$783.60 |
| 80061 |
Lipid panel |
63 |
62 |
$775.51 |
| 74018 |
|
113 |
92 |
$599.75 |
| 73620 |
|
86 |
61 |
$554.93 |
| 73120 |
|
85 |
51 |
$516.32 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
32 |
$514.16 |
| 73600 |
|
76 |
49 |
$505.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
67 |
58 |
$436.80 |
| 81001 |
|
122 |
121 |
$374.70 |
| 73100 |
|
47 |
26 |
$318.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
34 |
$307.25 |
| 87276 |
|
22 |
21 |
$289.70 |
| 87275 |
|
22 |
21 |
$289.70 |
| 72100 |
|
88 |
51 |
$238.96 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
25 |
$191.00 |
| 85730 |
|
28 |
28 |
$150.44 |
| 73560 |
|
26 |
13 |
$130.80 |
| 72040 |
|
17 |
13 |
$123.24 |
| 85610 |
|
28 |
28 |
$95.00 |
| 82043 |
|
16 |
16 |
$91.30 |
| 82570 |
|
13 |
13 |
$55.44 |
| 76641 |
|
148 |
74 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
16 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |
| 76536 |
|
26 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
72 |
$0.00 |
| A4550 |
Surgical trays |
12 |
12 |
$0.00 |
| 94664 |
|
32 |
32 |
$0.00 |