| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,338 |
9,362 |
$629K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,251 |
12,333 |
$551K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,170 |
1,100 |
$128K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
420 |
354 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,798 |
1,700 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,448 |
5,048 |
$45K |
| 80053 |
Comprehensive metabolic panel |
4,257 |
3,494 |
$38K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
1,971 |
1,869 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,180 |
2,914 |
$35K |
| 87631 |
|
452 |
432 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,264 |
2,060 |
$31K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
764 |
734 |
$30K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
417 |
393 |
$21K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,040 |
3,312 |
$21K |
| 87081 |
|
1,881 |
1,709 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,810 |
2,446 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
443 |
313 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,023 |
876 |
$8K |
| 81001 |
|
2,048 |
1,827 |
$7K |
| G0378 |
Hospital observation service, per hour |
26 |
26 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
45 |
40 |
$3K |
| 87420 |
|
231 |
202 |
$3K |
| 80306 |
|
348 |
301 |
$3K |
| 83690 |
|
623 |
534 |
$3K |
| 82150 |
|
570 |
487 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
40 |
$2K |
| 82553 |
|
258 |
205 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
114 |
101 |
$1K |
| 82550 |
|
263 |
209 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
896 |
813 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
525 |
478 |
$795.56 |
| J3410 |
Injection, hydroxyzine hcl, up to 25 mg |
70 |
67 |
$793.94 |
| 83880 |
|
38 |
34 |
$762.14 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
28 |
$758.43 |
| 84484 |
|
133 |
108 |
$721.76 |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
72 |
$623.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
13 |
$603.82 |
| 81025 |
|
151 |
135 |
$496.33 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
117 |
111 |
$458.87 |
| 83735 |
|
49 |
46 |
$369.28 |
| 74022 |
|
13 |
13 |
$253.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$223.08 |
| 81003 |
|
41 |
41 |
$134.54 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
153 |
139 |
$84.50 |
| 85610 |
|
54 |
24 |
$75.01 |
| 86592 |
|
13 |
13 |
$72.72 |
| 86850 |
|
13 |
13 |
$72.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,106 |
1,034 |
$49.75 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
171 |
145 |
$39.36 |
| 85730 |
|
40 |
12 |
$32.12 |
| 86900 |
|
12 |
12 |
$29.61 |
| 86901 |
|
12 |
12 |
$29.34 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
12 |
$27.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
200 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
385 |
332 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
74 |
66 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
61 |
55 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
34 |
$0.00 |