| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
2,808 |
2,398 |
$547K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,910 |
1,697 |
$412K |
| Y7506 |
|
4,554 |
3,835 |
$380K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,424 |
2,300 |
$375K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,560 |
3,926 |
$198K |
| 80053 |
Comprehensive metabolic panel |
4,101 |
3,554 |
$171K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,206 |
913 |
$81K |
| A0425 |
Ground mileage, per statute mile |
1,411 |
1,051 |
$44K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
107 |
98 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,581 |
1,451 |
$32K |
| 85610 |
|
200 |
170 |
$21K |
| 87400 |
|
113 |
105 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
130 |
116 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
132 |
120 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
75 |
66 |
$5K |
| 83690 |
|
146 |
131 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
102 |
98 |
$3K |
| 84484 |
|
86 |
67 |
$2K |
| 87081 |
|
573 |
545 |
$2K |
| 81001 |
|
182 |
167 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
144 |
111 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
36 |
32 |
$1K |
| J3490 |
Unclassified drugs |
144 |
124 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$738.73 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$199.20 |
| 80306 |
|
13 |
13 |
$191.41 |
| 87280 |
|
12 |
12 |
$160.07 |
| 87070 |
|
13 |
13 |
$119.35 |
| 84703 |
|
12 |
12 |
$58.03 |
| 81003 |
|
22 |
16 |
$34.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
67 |
$0.00 |