| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,632 |
15,492 |
$2.70M |
| Y7506 |
|
13,839 |
12,795 |
$2.03M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,048 |
10,651 |
$1.98M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,429 |
4,241 |
$1.38M |
| X4011 |
State-specific procedure code |
3,299 |
3,073 |
$717K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,490 |
7,862 |
$356K |
| 80053 |
Comprehensive metabolic panel |
6,948 |
6,529 |
$236K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
409 |
$123K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
707 |
685 |
$80K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
758 |
710 |
$78K |
| 94762 |
|
394 |
376 |
$39K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
745 |
706 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
90 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
314 |
295 |
$20K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
321 |
299 |
$18K |
| 81001 |
|
600 |
567 |
$14K |
| J3490 |
Unclassified drugs |
704 |
616 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
25 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
102 |
87 |
$10K |
| 86140 |
|
1,087 |
1,035 |
$8K |
| 87081 |
|
42 |
39 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
68 |
64 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
111 |
104 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$2K |
| 83735 |
|
494 |
466 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
15 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$1K |
| 83605 |
|
110 |
97 |
$946.26 |
| 83690 |
|
185 |
172 |
$862.03 |
| 81003 |
|
375 |
364 |
$599.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$577.21 |
| 84484 |
|
57 |
42 |
$532.59 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
28 |
$395.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$287.01 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
162 |
$222.79 |
| 80306 |
|
13 |
13 |
$181.02 |
| 85610 |
|
48 |
48 |
$165.51 |
| 87077 |
|
16 |
12 |
$58.01 |
| 85651 |
|
14 |
14 |
$21.73 |