| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,898 |
8,386 |
$1.56M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,372 |
4,945 |
$1.26M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,378 |
1,241 |
$370K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,730 |
1,517 |
$63K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
27 |
$56K |
| 80053 |
Comprehensive metabolic panel |
7,527 |
6,716 |
$53K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
467 |
442 |
$52K |
| J3490 |
Unclassified drugs |
2,983 |
1,673 |
$43K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,093 |
1,006 |
$38K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
464 |
447 |
$36K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
239 |
217 |
$36K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
299 |
273 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,436 |
5,752 |
$34K |
| 80061 |
Lipid panel |
2,873 |
2,713 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
815 |
759 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
352 |
319 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
800 |
768 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
11,506 |
10,096 |
$25K |
| 80050 |
General health panel |
582 |
565 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
34 |
28 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
400 |
338 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
112 |
104 |
$15K |
| 0240U |
|
128 |
114 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
294 |
267 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
227 |
184 |
$10K |
| 94664 |
|
434 |
377 |
$10K |
| 81001 |
|
4,319 |
3,879 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
392 |
367 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
312 |
298 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
762 |
715 |
$6K |
| 86803 |
|
509 |
466 |
$6K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
561 |
417 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
194 |
181 |
$6K |
| 81025 |
|
669 |
611 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
42 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
292 |
273 |
$4K |
| 87400 |
|
327 |
186 |
$4K |
| 84484 |
|
487 |
410 |
$3K |
| 82553 |
|
346 |
302 |
$2K |
| 83880 |
|
98 |
89 |
$2K |
| 87449 |
|
146 |
136 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
145 |
135 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
78 |
$1K |
| 82550 |
|
384 |
334 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
14 |
$737.67 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
15 |
$649.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
26 |
$646.77 |
| A9150 |
Non-prescription drugs |
63 |
53 |
$547.84 |
| 87081 |
|
72 |
64 |
$513.38 |
| 87088 |
|
71 |
63 |
$382.05 |
| 84439 |
|
45 |
41 |
$337.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
36 |
31 |
$236.94 |
| J2704 |
Injection, propofol, 10 mg |
185 |
145 |
$199.85 |
| 83735 |
|
36 |
29 |
$107.20 |
| 81003 |
|
60 |
57 |
$100.49 |
| 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 |
205 |
160 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
31 |
31 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
74 |
71 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
29 |
29 |
$0.00 |