| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
4,699 |
4,192 |
$300K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
913 |
699 |
$265K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,085 |
5,415 |
$187K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,318 |
1,130 |
$176K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,153 |
947 |
$175K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,545 |
3,212 |
$132K |
| 36415 |
Collection of venous blood by venipuncture |
9,975 |
8,745 |
$119K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
741 |
659 |
$67K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,916 |
1,816 |
$43K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
698 |
670 |
$42K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
672 |
658 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
613 |
583 |
$37K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
628 |
573 |
$25K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
350 |
306 |
$18K |
| 87631 |
|
73 |
73 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
201 |
187 |
$7K |
| A0425 |
Ground mileage, per statute mile |
181 |
143 |
$7K |
| 84484 |
|
240 |
203 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
71 |
12 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
645 |
286 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
88 |
82 |
$6K |
| 80061 |
Lipid panel |
104 |
102 |
$6K |
| 76376 |
|
39 |
38 |
$5K |
| 99072 |
|
549 |
538 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
130 |
82 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
138 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
38 |
$4K |
| 86141 |
|
153 |
143 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
181 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
14 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
54 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
37 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
33 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
58 |
54 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
35 |
32 |
$2K |
| 83735 |
|
112 |
97 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
139 |
128 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
37 |
31 |
$1K |
| 81001 |
|
118 |
109 |
$1K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
39 |
39 |
$735.00 |
| 83605 |
|
19 |
18 |
$493.68 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
24 |
$359.13 |
| 84703 |
|
13 |
13 |
$344.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
49 |
39 |
$308.95 |
| 81003 |
|
12 |
12 |
$271.30 |
| 83690 |
|
16 |
13 |
$232.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
13 |
$109.97 |
| 26037 |
|
14 |
14 |
$31.74 |
| A9270 |
Non-covered item or service |
27 |
25 |
$0.00 |