| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,007 |
4,317 |
$394K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,688 |
1,392 |
$212K |
| 80053 |
Comprehensive metabolic panel |
2,391 |
2,095 |
$153K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,470 |
2,981 |
$87K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,772 |
1,711 |
$40K |
| 87428 |
|
276 |
253 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
289 |
263 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
633 |
609 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
91 |
80 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
311 |
295 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,803 |
1,446 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
205 |
191 |
$11K |
| 59025 |
Fetal non-stress test |
93 |
38 |
$11K |
| A0425 |
Ground mileage, per statute mile |
272 |
225 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
120 |
112 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
90 |
27 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
78 |
71 |
$4K |
| 80061 |
Lipid panel |
84 |
81 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
50 |
42 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
32 |
30 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$1K |
| 81003 |
|
141 |
119 |
$1K |
| 81001 |
|
99 |
86 |
$991.17 |
| 84484 |
|
13 |
13 |
$986.06 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$925.23 |
| 87081 |
|
33 |
30 |
$880.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$625.89 |
| 80306 |
|
28 |
26 |
$546.65 |
| 86140 |
|
30 |
29 |
$477.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$472.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
38 |
$352.53 |
| 86850 |
|
12 |
12 |
$320.92 |
| 86901 |
|
12 |
12 |
$266.16 |
| 86900 |
|
12 |
12 |
$240.60 |
| 83605 |
|
13 |
12 |
$215.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
13 |
$56.08 |