| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,937 |
5,280 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,893 |
3,703 |
$216K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
588 |
558 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,876 |
2,029 |
$157K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
729 |
653 |
$84K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
857 |
750 |
$45K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
732 |
675 |
$42K |
| 99199 |
Unlisted special service, procedure or report |
10,039 |
10,035 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,288 |
1,117 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,258 |
542 |
$15K |
| 80053 |
Comprehensive metabolic panel |
2,052 |
1,676 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
145 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,019 |
1,681 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
38 |
$10K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
30 |
24 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
108 |
95 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
37 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,420 |
1,928 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
169 |
$3K |
| 85027 |
|
298 |
259 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
41 |
38 |
$2K |
| 81001 |
|
593 |
499 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
37 |
$1K |
| 87070 |
|
80 |
76 |
$1K |
| J3490 |
Unclassified drugs |
18 |
14 |
$829.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$749.81 |
| 87081 |
|
103 |
100 |
$703.64 |
| 83605 |
|
100 |
81 |
$692.47 |
| 87807 |
|
40 |
34 |
$647.90 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
60 |
37 |
$494.10 |
| 87400 |
|
55 |
45 |
$456.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$326.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
27 |
$324.36 |
| 80061 |
Lipid panel |
13 |
13 |
$293.40 |
| 84484 |
|
16 |
13 |
$145.36 |
| 83735 |
|
19 |
15 |
$82.28 |
| A9270 |
Non-covered item or service |
1,139 |
334 |
$78.07 |
| 82550 |
|
16 |
13 |
$68.05 |
| 85730 |
|
16 |
13 |
$62.77 |
| 81003 |
|
87 |
65 |
$53.07 |
| 85610 |
|
17 |
14 |
$41.11 |
| 99173 |
|
131 |
89 |
$14.00 |