| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,953 |
1,599 |
$244K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,104 |
661 |
$155K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
809 |
563 |
$127K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
437 |
291 |
$71K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
479 |
386 |
$58K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
623 |
116 |
$49K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
264 |
229 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
42 |
26 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
242 |
144 |
$9K |
| 80053 |
Comprehensive metabolic panel |
597 |
423 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
747 |
523 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,498 |
1,012 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,077 |
728 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
288 |
188 |
$750.14 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
61 |
12 |
$700.44 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
394 |
240 |
$548.10 |
| 71045 |
Radiologic examination, chest; single view |
215 |
143 |
$503.61 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
12 |
$459.83 |
| 84443 |
Thyroid stimulating hormone (TSH) |
70 |
38 |
$291.98 |
| 83735 |
|
154 |
84 |
$254.45 |
| 84484 |
|
153 |
86 |
$168.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
56 |
$152.14 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
12 |
$108.53 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
68 |
53 |
$76.07 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
793 |
379 |
$75.24 |
| 81001 |
|
309 |
201 |
$70.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
136 |
$69.28 |
| 83690 |
|
224 |
148 |
$67.51 |
| 84703 |
|
176 |
117 |
$56.26 |
| 87081 |
|
147 |
109 |
$45.12 |
| 80076 |
|
14 |
14 |
$16.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
252 |
134 |
$11.17 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
104 |
64 |
$2.24 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
43 |
25 |
$0.00 |