| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,008 |
3,733 |
$620K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,097 |
8,145 |
$282K |
| 36415 |
Collection of venous blood by venipuncture |
16,322 |
13,179 |
$246K |
| 80053 |
Comprehensive metabolic panel |
5,631 |
4,588 |
$215K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,216 |
2,063 |
$140K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,744 |
2,577 |
$122K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,883 |
1,673 |
$86K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
715 |
615 |
$80K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,442 |
1,153 |
$43K |
| 87081 |
|
1,643 |
1,535 |
$39K |
| 81001 |
|
2,440 |
1,992 |
$30K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
337 |
157 |
$29K |
| 87480 |
|
1,059 |
869 |
$27K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,259 |
886 |
$26K |
| 94760 |
|
1,890 |
1,631 |
$26K |
| 87660 |
|
1,076 |
882 |
$25K |
| 87510 |
|
1,058 |
868 |
$24K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
574 |
554 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
206 |
204 |
$19K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
639 |
493 |
$18K |
| 87581 |
|
169 |
157 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
594 |
545 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
105 |
89 |
$14K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
691 |
558 |
$13K |
| 93040 |
|
353 |
292 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
94 |
63 |
$12K |
| S5170 |
Home delivered meals, including preparation; per meal |
251 |
214 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
605 |
509 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
310 |
249 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
310 |
249 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
36 |
26 |
$10K |
| 83605 |
|
612 |
485 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
309 |
253 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
325 |
$9K |
| 87430 |
|
448 |
388 |
$9K |
| 84145 |
|
210 |
159 |
$8K |
| 93000 |
|
194 |
166 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
39 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
179 |
150 |
$7K |
| 76818 |
|
65 |
25 |
$7K |
| 80061 |
Lipid panel |
161 |
145 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27 |
24 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
67 |
58 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
109 |
94 |
$5K |
| 93041 |
|
60 |
54 |
$4K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
35 |
27 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
127 |
105 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
150 |
117 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
56 |
41 |
$3K |
| 84484 |
|
137 |
105 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
101 |
88 |
$2K |
| 82553 |
|
110 |
87 |
$2K |
| 80050 |
General health panel |
14 |
14 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
32 |
28 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
150 |
118 |
$2K |
| 86140 |
|
122 |
92 |
$2K |
| 83735 |
|
155 |
118 |
$1K |
| 80306 |
|
12 |
12 |
$1K |
| 84702 |
|
33 |
25 |
$1K |
| 82550 |
|
111 |
88 |
$1K |
| 73562 |
|
14 |
12 |
$1K |
| 84439 |
|
59 |
48 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
44 |
27 |
$1K |
| 83655 |
|
47 |
37 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
20 |
16 |
$1K |
| 87631 |
|
15 |
13 |
$900.84 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
71 |
56 |
$822.16 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
49 |
37 |
$749.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$648.17 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
72 |
52 |
$561.76 |
| 83690 |
|
35 |
27 |
$552.26 |
| 36416 |
|
80 |
50 |
$544.94 |
| 87807 |
|
15 |
13 |
$493.65 |
| 84165 |
|
19 |
13 |
$463.56 |
| A9270 |
Non-covered item or service |
1,332 |
983 |
$327.57 |
| 86900 |
|
16 |
13 |
$304.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
27 |
$273.35 |
| 85651 |
|
21 |
14 |
$198.61 |
| 86850 |
|
16 |
13 |
$152.10 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
264 |
240 |
$53.28 |
| 87650 |
|
28 |
26 |
$40.09 |