| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
481 |
407 |
$51K |
| 80053 |
Comprehensive metabolic panel |
1,717 |
1,556 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,163 |
1,899 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
993 |
958 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42 |
34 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
81 |
67 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
91 |
25 |
$5K |
| 80061 |
Lipid panel |
530 |
518 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
182 |
177 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,207 |
1,930 |
$4K |
| 84439 |
|
495 |
477 |
$3K |
| 84481 |
|
240 |
236 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
401 |
393 |
$3K |
| 82728 |
|
112 |
110 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
168 |
158 |
$1K |
| 82607 |
|
87 |
85 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
16 |
$396.16 |
| 83550 |
|
53 |
52 |
$354.86 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$353.27 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
14 |
$258.92 |
| 82746 |
|
13 |
13 |
$147.06 |
| 85027 |
|
13 |
13 |
$93.93 |
| 85651 |
|
28 |
28 |
$87.99 |
| 81000 |
|
14 |
12 |
$40.31 |
| A9270 |
Non-covered item or service |
190 |
113 |
$0.00 |