| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
716 |
656 |
$394K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,029 |
1,923 |
$277K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
151 |
142 |
$19K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
207 |
192 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
53 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,250 |
1,119 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
285 |
275 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,148 |
1,011 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
65 |
57 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
28 |
25 |
$1K |
| 85027 |
|
162 |
151 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
15 |
13 |
$878.54 |
| 81001 |
|
369 |
328 |
$774.44 |
| 80050 |
General health panel |
16 |
14 |
$690.69 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30 |
29 |
$635.93 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
30 |
29 |
$555.93 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17 |
13 |
$487.87 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
13 |
$372.80 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
76 |
67 |
$326.67 |
| J7050 |
Infusion, normal saline solution, 250 cc |
19 |
14 |
$267.61 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
165 |
$196.98 |
| 84443 |
Thyroid stimulating hormone (TSH) |
76 |
67 |
$177.36 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
48 |
43 |
$165.27 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
13 |
$144.30 |
| 86780 |
|
12 |
12 |
$130.46 |
| 36415 |
Collection of venous blood by venipuncture |
352 |
305 |
$122.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$102.56 |
| 80061 |
Lipid panel |
87 |
79 |
$95.85 |
| 83690 |
|
18 |
17 |
$95.61 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
18 |
12 |
$61.68 |