| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
2,266 |
1,071 |
$871K |
| 36415 |
Collection of venous blood by venipuncture |
4,159 |
3,562 |
$699K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,284 |
3,556 |
$215K |
| 87486 |
|
261 |
257 |
$127K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
671 |
642 |
$111K |
| 80053 |
Comprehensive metabolic panel |
2,553 |
2,292 |
$60K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,091 |
1,061 |
$55K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
382 |
353 |
$41K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
198 |
193 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,355 |
2,090 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
72 |
62 |
$9K |
| 87634 |
|
86 |
83 |
$6K |
| 85027 |
|
364 |
337 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
472 |
431 |
$5K |
| 80061 |
Lipid panel |
235 |
223 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
58 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
131 |
$3K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
26 |
24 |
$3K |
| 81001 |
|
88 |
77 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
261 |
257 |
$2K |
| 81003 |
|
130 |
87 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
36 |
$2K |
| 87070 |
|
179 |
166 |
$1K |
| 87807 |
|
17 |
14 |
$741.85 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
261 |
257 |
$552.18 |
| 87581 |
|
261 |
257 |
$552.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$272.16 |
| 91300 |
|
20 |
18 |
$238.02 |
| 82077 |
|
18 |
12 |
$102.81 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$9.54 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$9.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$9.07 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
12 |
$9.07 |
| 91301 |
|
13 |
13 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |