| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
924 |
720 |
$213K |
| 80053 |
Comprehensive metabolic panel |
3,101 |
2,419 |
$156K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,941 |
2,212 |
$90K |
| 87428 |
|
449 |
419 |
$50K |
| 36415 |
Collection of venous blood by venipuncture |
4,548 |
3,131 |
$48K |
| 86140 |
|
1,432 |
1,107 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
532 |
397 |
$39K |
| 83735 |
|
871 |
697 |
$23K |
| 80050 |
General health panel |
142 |
105 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
638 |
611 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
134 |
50 |
$10K |
| 84439 |
|
185 |
171 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
74 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
49 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21 |
15 |
$6K |
| J7050 |
Infusion, normal saline solution, 250 cc |
78 |
50 |
$5K |
| 80061 |
Lipid panel |
108 |
105 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
60 |
40 |
$5K |
| 84145 |
|
74 |
68 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
68 |
67 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
30 |
26 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
18 |
$4K |
| 87420 |
|
43 |
41 |
$4K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
20 |
12 |
$2K |
| 87430 |
|
56 |
53 |
$2K |
| 81003 |
|
181 |
163 |
$2K |
| 81002 |
|
145 |
137 |
$2K |
| J3490 |
Unclassified drugs |
82 |
28 |
$2K |
| 85651 |
|
73 |
52 |
$1K |
| 80305 |
|
16 |
14 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
25 |
$775.45 |
| 85027 |
|
33 |
31 |
$578.90 |
| 81001 |
|
15 |
13 |
$382.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$284.00 |