| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,624 |
4,377 |
$999K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,359 |
1,216 |
$76K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
357 |
347 |
$53K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
361 |
347 |
$52K |
| 87400 |
|
608 |
593 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,017 |
4,153 |
$22K |
| A0425 |
Ground mileage, per statute mile |
380 |
281 |
$12K |
| 80053 |
Comprehensive metabolic panel |
3,032 |
2,608 |
$12K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
61 |
53 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
27 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
213 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42 |
41 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
187 |
179 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
534 |
507 |
$3K |
| 87420 |
|
67 |
65 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16 |
12 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
57 |
52 |
$2K |
| 81001 |
|
1,228 |
1,083 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
659 |
590 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,042 |
1,025 |
$2K |
| 80061 |
Lipid panel |
1,109 |
1,098 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$909.84 |
| 36415 |
Collection of venous blood by venipuncture |
6,843 |
5,611 |
$718.26 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
65 |
60 |
$483.96 |
| 90658 |
|
15 |
13 |
$418.95 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
19 |
12 |
$373.27 |
| 84481 |
|
13 |
13 |
$336.50 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$235.09 |
| 84439 |
|
13 |
13 |
$179.19 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
499 |
423 |
$175.39 |
| 82043 |
|
13 |
13 |
$119.67 |
| 82570 |
|
38 |
37 |
$114.34 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
26 |
25 |
$104.71 |
| 86592 |
|
14 |
14 |
$88.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
97 |
$50.87 |
| 87186 |
|
102 |
91 |
$38.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$24.79 |
| 84484 |
|
62 |
55 |
$22.44 |
| 80164 |
|
33 |
31 |
$0.00 |
| 85610 |
|
23 |
13 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| 84479 |
|
13 |
13 |
$0.00 |
| 84436 |
|
13 |
13 |
$0.00 |