| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
94 |
80 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,865 |
1,495 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
277 |
221 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
159 |
126 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,728 |
1,377 |
$3K |
| A0425 |
Ground mileage, per statute mile |
19 |
12 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
242 |
220 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,501 |
2,658 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58 |
41 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
171 |
63 |
$2K |
| 86140 |
|
310 |
255 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
30 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
161 |
54 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
90 |
84 |
$938.24 |
| 83735 |
|
291 |
228 |
$885.55 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
30 |
27 |
$878.85 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
31 |
25 |
$770.62 |
| 81000 |
|
169 |
147 |
$561.57 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
21 |
19 |
$270.02 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
21 |
19 |
$235.34 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
26 |
$195.62 |
| 87634 |
|
21 |
19 |
$185.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$60.97 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
70 |
54 |
$37.79 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
25 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
25 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
56 |
53 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
25 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |