| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,130 |
6,746 |
$379K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,918 |
9,363 |
$298K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,082 |
5,792 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,498 |
3,029 |
$44K |
| 80053 |
Comprehensive metabolic panel |
5,193 |
4,183 |
$39K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,723 |
1,407 |
$34K |
| 87070 |
|
2,383 |
2,066 |
$23K |
| 87088 |
|
3,032 |
2,487 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,161 |
908 |
$20K |
| 81001 |
|
5,002 |
4,159 |
$14K |
| 87400 |
|
3,121 |
2,419 |
$14K |
| 87430 |
|
827 |
777 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,234 |
1,003 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,186 |
1,018 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
27 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
328 |
271 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
87 |
73 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
61 |
53 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
497 |
456 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,008 |
824 |
$4K |
| D9420 |
|
16 |
14 |
$3K |
| 81025 |
|
1,015 |
879 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,934 |
1,653 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,183 |
1,790 |
$2K |
| 87420 |
|
139 |
131 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
90 |
90 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
39 |
$2K |
| 84703 |
|
266 |
256 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
13 |
$1K |
| 83690 |
|
241 |
201 |
$1K |
| 82150 |
|
245 |
200 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,604 |
1,360 |
$979.53 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
121 |
91 |
$875.43 |
| 84484 |
|
70 |
59 |
$482.89 |
| 83605 |
|
73 |
56 |
$482.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,441 |
1,269 |
$303.49 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
40 |
$296.56 |
| 80076 |
|
37 |
37 |
$284.24 |
| 82550 |
|
38 |
32 |
$211.20 |
| 83735 |
|
31 |
24 |
$139.84 |
| 87077 |
|
17 |
12 |
$98.78 |
| 87186 |
|
12 |
12 |
$90.99 |
| 87081 |
|
14 |
14 |
$70.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
17 |
13 |
$56.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
217 |
179 |
$52.56 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
108 |
93 |
$26.28 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$25.68 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
59 |
51 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
79 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
90 |
$0.00 |
| 81015 |
|
187 |
112 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
308 |
220 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
784 |
669 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
15 |
14 |
$0.00 |