| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,146 |
4,404 |
$433K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,662 |
2,844 |
$389K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,607 |
1,202 |
$225K |
| 80053 |
Comprehensive metabolic panel |
2,428 |
2,081 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,940 |
2,520 |
$46K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,699 |
3,288 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
5,159 |
4,373 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,329 |
948 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
431 |
394 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
344 |
272 |
$19K |
| 86140 |
|
996 |
819 |
$17K |
| 93000 |
|
228 |
186 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
543 |
430 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
770 |
353 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
218 |
189 |
$10K |
| 83605 |
|
152 |
127 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
295 |
248 |
$8K |
| 81001 |
|
1,103 |
995 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
701 |
628 |
$6K |
| 83690 |
|
377 |
337 |
$6K |
| 81003 |
|
656 |
547 |
$6K |
| 87260 |
|
205 |
201 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
81 |
67 |
$5K |
| A0999 |
Unlisted ambulance service |
17 |
14 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
192 |
180 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
12 |
$4K |
| 87430 |
|
310 |
286 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$4K |
| 84484 |
|
250 |
208 |
$3K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21 |
17 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
49 |
13 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
77 |
70 |
$3K |
| A0425 |
Ground mileage, per statute mile |
42 |
34 |
$3K |
| A9270 |
Non-covered item or service |
2,462 |
2,174 |
$2K |
| 87070 |
|
108 |
96 |
$1K |
| 87276 |
|
49 |
47 |
$1K |
| 87275 |
|
49 |
47 |
$1K |
| 85379 |
|
17 |
13 |
$879.36 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
74 |
68 |
$871.62 |
| 82150 |
|
73 |
67 |
$746.29 |
| 80306 |
|
31 |
26 |
$647.51 |
| 81025 |
|
80 |
74 |
$623.28 |
| 82550 |
|
29 |
25 |
$456.30 |
| 83735 |
|
53 |
42 |
$437.04 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$428.62 |
| 85027 |
|
15 |
14 |
$424.01 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
14 |
$373.37 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$267.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$173.03 |
| 85018 |
|
18 |
18 |
$164.39 |
| 85610 |
|
27 |
24 |
$158.39 |
| 87449 |
|
18 |
18 |
$149.76 |
| 90686 |
|
19 |
12 |
$149.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$92.23 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$64.01 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
121 |
108 |
$59.88 |