| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,978 |
9,647 |
$425K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,021 |
6,695 |
$256K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,581 |
917 |
$144K |
| 80053 |
Comprehensive metabolic panel |
8,484 |
7,200 |
$73K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
418 |
407 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,648 |
9,129 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,261 |
2,171 |
$38K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
77 |
76 |
$26K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,338 |
1,267 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
692 |
651 |
$18K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
270 |
266 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,220 |
1,076 |
$10K |
| 83735 |
|
1,525 |
680 |
$9K |
| 83615 |
|
1,476 |
634 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
813 |
316 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
321 |
291 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
63 |
59 |
$5K |
| 31720 |
|
111 |
48 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
77 |
76 |
$5K |
| 84484 |
|
535 |
474 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
316 |
306 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
109 |
107 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
113 |
45 |
$3K |
| 87631 |
|
30 |
29 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
50 |
47 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
261 |
249 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
173 |
171 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
515 |
467 |
$2K |
| 83690 |
|
254 |
248 |
$2K |
| 81003 |
|
1,312 |
1,249 |
$1K |
| 97597 |
|
20 |
14 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
26 |
$1K |
| 87581 |
|
77 |
76 |
$997.75 |
| 87486 |
|
77 |
76 |
$997.74 |
| 84443 |
Thyroid stimulating hormone (TSH) |
119 |
110 |
$980.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
27 |
$939.89 |
| 81001 |
|
347 |
331 |
$908.18 |
| 81025 |
|
108 |
107 |
$786.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
345 |
327 |
$467.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
30 |
$400.48 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
144 |
64 |
$389.09 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
15 |
$387.58 |
| 87800 |
|
12 |
12 |
$328.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55 |
55 |
$315.11 |
| 82248 |
|
117 |
101 |
$292.88 |
| 80061 |
Lipid panel |
32 |
32 |
$287.20 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,081 |
940 |
$202.99 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
34 |
32 |
$186.24 |
| 83880 |
|
12 |
12 |
$167.52 |
| 87186 |
|
29 |
28 |
$166.53 |
| 87075 |
|
31 |
26 |
$146.27 |
| 36415 |
Collection of venous blood by venipuncture |
5,396 |
3,969 |
$143.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$113.46 |
| 87081 |
|
12 |
12 |
$101.93 |
| 87070 |
|
31 |
26 |
$86.13 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
61 |
50 |
$70.56 |
| 85610 |
|
72 |
38 |
$67.00 |
| 85027 |
|
13 |
13 |
$59.07 |
| 83605 |
|
13 |
12 |
$53.26 |
| 87205 |
|
31 |
26 |
$48.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
87 |
78 |
$35.05 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
82 |
62 |
$32.85 |
| J7050 |
Infusion, normal saline solution, 250 cc |
38 |
25 |
$12.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
30 |
$11.31 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
88 |
54 |
$7.63 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
823 |
663 |
$3.07 |
| A9270 |
Non-covered item or service |
129 |
46 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
52 |
38 |
$0.00 |
| 36416 |
|
42 |
31 |
$0.00 |