| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,101 |
2,378 |
$696K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,257 |
2,521 |
$332K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
843 |
817 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
616 |
593 |
$27K |
| 80053 |
Comprehensive metabolic panel |
3,703 |
3,330 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,332 |
3,862 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
176 |
168 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,847 |
4,288 |
$10K |
| 87430 |
|
598 |
578 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
338 |
327 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
84 |
65 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
247 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
689 |
658 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
38 |
26 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
127 |
113 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
37 |
$5K |
| 87420 |
|
182 |
176 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
414 |
400 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
67 |
66 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
39 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$2K |
| 86140 |
|
263 |
242 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
51 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
163 |
143 |
$1K |
| 36000 |
|
254 |
231 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
92 |
85 |
$1K |
| 87490 |
|
43 |
39 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$791.50 |
| 80061 |
Lipid panel |
198 |
197 |
$747.48 |
| 86803 |
|
40 |
39 |
$716.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
13 |
$632.79 |
| 84480 |
|
47 |
44 |
$630.12 |
| 86705 |
|
40 |
39 |
$591.19 |
| 86709 |
|
40 |
39 |
$565.63 |
| 87340 |
|
37 |
37 |
$480.71 |
| 81001 |
|
414 |
380 |
$478.31 |
| 84436 |
|
63 |
58 |
$433.53 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
16 |
$429.02 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
24 |
24 |
$422.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
64 |
$372.84 |
| 86592 |
|
73 |
71 |
$366.47 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$255.53 |
| 82728 |
|
14 |
12 |
$223.70 |
| 85651 |
|
42 |
39 |
$219.65 |
| 83721 |
|
172 |
171 |
$167.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$109.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
38 |
$95.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$73.95 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
62 |
$72.86 |
| 81002 |
|
13 |
12 |
$23.70 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
13 |
$2.50 |
| 87400 |
|
107 |
101 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
222 |
201 |
$0.00 |