| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,115 |
4,248 |
$1.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,599 |
1,197 |
$387K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,223 |
993 |
$274K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,866 |
1,335 |
$261K |
| 80053 |
Comprehensive metabolic panel |
5,284 |
4,212 |
$147K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
816 |
681 |
$96K |
| 83605 |
|
1,326 |
1,044 |
$72K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
157 |
144 |
$21K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
87 |
69 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
12 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
32 |
25 |
$8K |
| 84484 |
|
329 |
206 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
7,577 |
5,841 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,804 |
4,586 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
46 |
42 |
$4K |
| 87486 |
|
88 |
70 |
$3K |
| 87581 |
|
87 |
69 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,419 |
1,090 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
87 |
69 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
119 |
89 |
$623.45 |
| 71045 |
Radiologic examination, chest; single view |
230 |
183 |
$610.15 |
| 81001 |
|
2,426 |
1,988 |
$495.60 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
250 |
209 |
$445.17 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
514 |
346 |
$400.54 |
| 83880 |
|
16 |
12 |
$398.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
41 |
$304.87 |
| 84439 |
|
15 |
13 |
$272.34 |
| 80061 |
Lipid panel |
41 |
28 |
$259.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
482 |
410 |
$47.05 |
| 86140 |
|
129 |
100 |
$42.12 |
| 84703 |
|
12 |
12 |
$14.71 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
132 |
113 |
$8.63 |
| 83735 |
|
109 |
94 |
$0.00 |
| 83690 |
|
265 |
219 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
135 |
97 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
33 |
26 |
$0.00 |
| 80305 |
|
103 |
92 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
17 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |