| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,090 |
1,766 |
$382K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,373 |
2,183 |
$295K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
599 |
483 |
$142K |
| 59025 |
Fetal non-stress test |
508 |
221 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,558 |
1,388 |
$39K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
546 |
90 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,398 |
1,493 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,343 |
1,898 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,442 |
1,299 |
$10K |
| 80053 |
Comprehensive metabolic panel |
2,177 |
1,781 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
689 |
567 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
599 |
477 |
$6K |
| 84484 |
|
508 |
315 |
$5K |
| 87081 |
|
1,003 |
906 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
515 |
397 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
67 |
26 |
$3K |
| G0378 |
Hospital observation service, per hour |
35 |
27 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
51 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
64 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
278 |
229 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
25 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
700 |
494 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
637 |
496 |
$1K |
| 87420 |
|
136 |
133 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
48 |
40 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
14 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
176 |
156 |
$956.77 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
21 |
$794.59 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
24 |
$693.25 |
| 83735 |
|
234 |
183 |
$651.17 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
12 |
$590.48 |
| 83690 |
|
138 |
116 |
$546.36 |
| 81001 |
|
558 |
472 |
$516.48 |
| 84702 |
|
20 |
13 |
$497.11 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$451.37 |
| 83880 |
|
55 |
37 |
$338.68 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
68 |
63 |
$336.64 |
| 81025 |
|
89 |
82 |
$308.72 |
| 86140 |
|
87 |
69 |
$154.22 |
| 85610 |
|
97 |
73 |
$109.94 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$107.21 |
| 82150 |
|
28 |
26 |
$97.01 |
| 81003 |
|
50 |
43 |
$29.65 |