| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
879 |
760 |
$193K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,672 |
1,249 |
$193K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,983 |
1,521 |
$73K |
| 80053 |
Comprehensive metabolic panel |
748 |
652 |
$47K |
| 36415 |
Collection of venous blood by venipuncture |
1,118 |
884 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
725 |
$18K |
| 86140 |
|
249 |
228 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
142 |
111 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
77 |
$6K |
| 99001 |
|
181 |
143 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
44 |
42 |
$4K |
| 85652 |
|
162 |
151 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
101 |
69 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
406 |
339 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31 |
25 |
$2K |
| 81001 |
|
111 |
99 |
$2K |
| 84484 |
|
48 |
38 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32 |
24 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
46 |
37 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
28 |
$912.35 |
| 11721 |
|
50 |
42 |
$647.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$601.75 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
17 |
12 |
$583.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$312.83 |
| 83735 |
|
12 |
12 |
$282.27 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
12 |
$267.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$207.21 |
| 85004 |
|
126 |
100 |
$41.85 |
| A9270 |
Non-covered item or service |
847 |
307 |
$0.00 |