| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,200 |
4,091 |
$637K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
951 |
651 |
$135K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
729 |
330 |
$75K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
983 |
733 |
$73K |
| 80053 |
Comprehensive metabolic panel |
4,567 |
3,783 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,082 |
4,157 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
11,756 |
8,715 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
296 |
134 |
$19K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
93 |
37 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
65 |
46 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
108 |
$8K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19 |
18 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
41 |
39 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
69 |
52 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
48 |
44 |
$3K |
| A0425 |
Ground mileage, per statute mile |
440 |
330 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
43 |
38 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
284 |
244 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 82728 |
|
262 |
222 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 82607 |
|
194 |
165 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
31 |
12 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14 |
12 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
13 |
$839.03 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
52 |
39 |
$755.58 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
12 |
$668.54 |
| 86140 |
|
196 |
159 |
$607.85 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
17 |
13 |
$496.59 |
| 36000 |
|
67 |
59 |
$486.21 |
| 81000 |
|
200 |
167 |
$437.63 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
80 |
64 |
$429.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
44 |
$326.49 |
| 84439 |
|
72 |
61 |
$325.60 |
| 84484 |
|
39 |
27 |
$223.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$159.54 |
| 80061 |
Lipid panel |
14 |
13 |
$148.49 |
| 85007 |
|
32 |
28 |
$84.25 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
13 |
$33.90 |
| A9270 |
Non-covered item or service |
17 |
14 |
$0.00 |