| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,093 |
1,819 |
$240K |
| X4011 |
State-specific procedure code |
267 |
251 |
$75K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
392 |
322 |
$63K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,068 |
2,010 |
$44K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
606 |
594 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,187 |
1,156 |
$33K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
302 |
62 |
$22K |
| 80053 |
Comprehensive metabolic panel |
2,691 |
2,227 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,191 |
1,756 |
$13K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
170 |
159 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
436 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
229 |
185 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42 |
30 |
$5K |
| 59025 |
Fetal non-stress test |
55 |
25 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
42 |
37 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
49 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$1K |
| 84484 |
|
143 |
119 |
$961.87 |
| 71045 |
Radiologic examination, chest; single view |
35 |
28 |
$943.31 |
| 80061 |
Lipid panel |
77 |
74 |
$753.79 |
| 84443 |
Thyroid stimulating hormone (TSH) |
74 |
69 |
$673.31 |
| 83735 |
|
231 |
161 |
$585.25 |
| Y7506 |
|
70 |
63 |
$540.66 |
| 81003 |
|
461 |
303 |
$522.78 |
| 84702 |
|
41 |
37 |
$406.27 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$339.89 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
14 |
$294.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$283.96 |
| 85027 |
|
60 |
54 |
$241.58 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
17 |
15 |
$223.15 |
| 87088 |
|
40 |
39 |
$186.61 |
| 81025 |
|
14 |
13 |
$74.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$70.66 |
| 36415 |
Collection of venous blood by venipuncture |
360 |
228 |
$67.50 |
| 81001 |
|
46 |
40 |
$46.92 |
| 86140 |
|
14 |
13 |
$43.82 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
80 |
$41.45 |
| 81002 |
|
18 |
16 |
$36.69 |
| 87070 |
|
12 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
35 |
29 |
$0.00 |