| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,028 |
745 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
411 |
250 |
$65K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
119 |
97 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
91 |
79 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
18 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
31 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
49 |
47 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,000 |
905 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,034 |
934 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
50 |
48 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
86 |
78 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
321 |
314 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
283 |
279 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,269 |
1,077 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
62 |
61 |
$1K |
| 76376 |
|
384 |
312 |
$1K |
| 80061 |
Lipid panel |
258 |
255 |
$954.65 |
| 82728 |
|
129 |
125 |
$913.32 |
| 71250 |
|
35 |
35 |
$797.59 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
112 |
109 |
$789.09 |
| 84466 |
|
112 |
109 |
$685.91 |
| ATP14 |
|
433 |
384 |
$561.76 |
| 84439 |
|
118 |
115 |
$468.08 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
117 |
111 |
$451.99 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
232 |
189 |
$430.95 |
| 71271 |
|
28 |
28 |
$395.87 |
| 84484 |
|
136 |
122 |
$360.45 |
| 83540 |
|
114 |
111 |
$359.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
145 |
129 |
$266.45 |
| 85652 |
|
93 |
88 |
$254.16 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$237.75 |
| 81001 |
|
174 |
160 |
$210.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$193.12 |
| 86141 |
|
65 |
59 |
$153.27 |
| 83605 |
|
95 |
88 |
$112.20 |
| ATP17 |
|
105 |
105 |
$102.48 |
| J7050 |
Infusion, normal saline solution, 250 cc |
68 |
40 |
$77.20 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$75.37 |
| 83735 |
|
95 |
90 |
$70.92 |
| 87186 |
|
34 |
33 |
$69.11 |
| ATP15 |
|
39 |
39 |
$68.04 |
| 85027 |
|
51 |
47 |
$57.10 |
| 87088 |
|
64 |
58 |
$57.04 |
| 83690 |
|
56 |
49 |
$54.72 |
| ATP08 |
|
71 |
64 |
$50.61 |
| 84703 |
|
14 |
14 |
$46.41 |
| 82607 |
|
54 |
53 |
$39.90 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
127 |
93 |
$38.60 |
| 85007 |
|
51 |
46 |
$30.15 |
| 81003 |
|
53 |
49 |
$27.72 |
| 87040 |
|
14 |
14 |
$27.30 |
| 85610 |
|
85 |
72 |
$26.85 |
| 71045 |
Radiologic examination, chest; single view |
68 |
61 |
$19.59 |
| 85730 |
|
19 |
18 |
$15.90 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
84 |
80 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
87 |
82 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
39 |
$0.00 |
| 82962 |
|
46 |
32 |
$0.00 |
| 82077 |
|
37 |
35 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
36 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |
| 82043 |
|
37 |
37 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
34 |
32 |
$0.00 |
| 84100 |
|
18 |
17 |
$0.00 |
| 82570 |
|
60 |
60 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
39 |
$0.00 |