| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,521 |
3,078 |
$289K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,786 |
1,660 |
$133K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
540 |
438 |
$40K |
| 80053 |
Comprehensive metabolic panel |
3,627 |
2,917 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,053 |
3,300 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
493 |
445 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
416 |
376 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
804 |
538 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
6,811 |
5,527 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,214 |
559 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
351 |
329 |
$3K |
| 83735 |
|
740 |
588 |
$2K |
| 36416 |
|
796 |
784 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
70 |
$1K |
| 81003 |
|
850 |
728 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
279 |
220 |
$926.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
25 |
$923.58 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$896.44 |
| 84484 |
|
74 |
56 |
$882.40 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
340 |
280 |
$471.22 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$441.54 |
| 83605 |
|
29 |
25 |
$288.63 |
| 87081 |
|
123 |
115 |
$231.03 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
37 |
$150.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
27 |
$141.28 |
| 71045 |
Radiologic examination, chest; single view |
35 |
34 |
$108.26 |
| 87807 |
|
21 |
17 |
$104.08 |
| 85018 |
|
67 |
65 |
$81.02 |
| 84439 |
|
33 |
27 |
$72.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$70.47 |
| 80061 |
Lipid panel |
16 |
16 |
$59.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$47.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |