| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
805 |
704 |
$119K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
650 |
577 |
$83K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
571 |
408 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
755 |
297 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
856 |
799 |
$41K |
| Y7506 |
|
261 |
238 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
743 |
624 |
$31K |
| 80053 |
Comprehensive metabolic panel |
650 |
612 |
$29K |
| 81001 |
|
173 |
155 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
123 |
86 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
46 |
44 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
25 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
200 |
195 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
130 |
123 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
17 |
$3K |
| 80305 |
|
16 |
15 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20 |
12 |
$3K |
| 86141 |
|
155 |
148 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
34 |
30 |
$2K |
| 83735 |
|
183 |
176 |
$2K |
| 87807 |
|
73 |
55 |
$2K |
| 84436 |
|
68 |
66 |
$2K |
| 84484 |
|
26 |
25 |
$2K |
| 80061 |
Lipid panel |
66 |
64 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
46 |
$924.71 |
| 83655 |
|
38 |
38 |
$807.46 |
| 80050 |
General health panel |
13 |
12 |
$465.41 |
| 84100 |
|
26 |
26 |
$379.00 |
| 83880 |
|
28 |
26 |
$329.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
54 |
$236.75 |
| 81002 |
|
20 |
20 |
$27.56 |
| J3490 |
Unclassified drugs |
386 |
301 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$0.00 |