| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,337 |
4,594 |
$560K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,155 |
3,708 |
$399K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,342 |
6,266 |
$98K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
653 |
513 |
$77K |
| J3490 |
Unclassified drugs |
17,341 |
8,700 |
$40K |
| 80053 |
Comprehensive metabolic panel |
2,544 |
2,274 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,994 |
15,332 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
804 |
773 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
726 |
703 |
$5K |
| 80061 |
Lipid panel |
581 |
551 |
$3K |
| 84484 |
|
213 |
115 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
33 |
27 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,669 |
2,319 |
$2K |
| 80076 |
|
81 |
78 |
$1K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
37 |
34 |
$839.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,369 |
1,120 |
$788.18 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$757.44 |
| 36415 |
Collection of venous blood by venipuncture |
306 |
251 |
$598.79 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
53 |
52 |
$308.11 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
616 |
516 |
$108.68 |
| 81001 |
|
408 |
327 |
$22.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,063 |
856 |
$21.83 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
599 |
458 |
$14.37 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,123 |
925 |
$0.57 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
173 |
142 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
38 |
25 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
22 |
13 |
$0.00 |
| 83605 |
|
66 |
41 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
48 |
25 |
$0.00 |
| 83690 |
|
26 |
24 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
70 |
65 |
$0.00 |
| 84703 |
|
70 |
65 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
15 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
24 |
12 |
$0.00 |