| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,906 |
2,747 |
$1.37M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,961 |
3,780 |
$1.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
235 |
211 |
$120K |
| 71045 |
Radiologic examination, chest; single view |
859 |
804 |
$47K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
143 |
138 |
$25K |
| T1015 |
Clinic visit/encounter, all-inclusive |
153 |
107 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
558 |
530 |
$19K |
| 80053 |
Comprehensive metabolic panel |
2,388 |
2,021 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,858 |
2,369 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
133 |
119 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
330 |
308 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
101 |
96 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
123 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,227 |
1,185 |
$4K |
| 81001 |
|
1,384 |
1,277 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
108 |
96 |
$3K |
| 87081 |
|
157 |
154 |
$996.08 |
| 85730 |
|
200 |
182 |
$814.90 |
| 85610 |
|
796 |
464 |
$813.38 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
31 |
27 |
$717.27 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
88 |
77 |
$693.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$420.55 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
325 |
306 |
$308.37 |
| 84484 |
|
57 |
48 |
$219.50 |
| 81025 |
|
26 |
25 |
$215.91 |
| 83735 |
|
55 |
52 |
$175.31 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
42 |
36 |
$146.89 |
| 83690 |
|
17 |
15 |
$96.16 |
| 83880 |
|
17 |
16 |
$93.99 |
| 82150 |
|
17 |
15 |
$90.35 |
| 82550 |
|
27 |
26 |
$84.81 |
| 87088 |
|
128 |
120 |
$72.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,634 |
3,386 |
$37.85 |
| 80061 |
Lipid panel |
125 |
124 |
$33.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
41 |
$30.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
39 |
$26.80 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
27 |
$22.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
155 |
$0.00 |