| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,144 |
6,485 |
$618K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,507 |
1,718 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,255 |
1,168 |
$64K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
289 |
248 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
214 |
172 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
210 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,125 |
1,038 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
495 |
367 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
65 |
64 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
24 |
$946.88 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
24 |
$946.88 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
60 |
$781.80 |
| 36415 |
Collection of venous blood by venipuncture |
244 |
216 |
$584.82 |
| 80053 |
Comprehensive metabolic panel |
1,168 |
982 |
$321.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,700 |
1,406 |
$261.63 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
12 |
$161.13 |
| 85027 |
|
29 |
29 |
$130.24 |
| 86140 |
|
28 |
26 |
$104.16 |
| 85007 |
|
17 |
17 |
$23.22 |
| 80061 |
Lipid panel |
15 |
14 |
$0.00 |
| 83540 |
|
13 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| 82248 |
|
15 |
14 |
$0.00 |
| 84481 |
|
17 |
15 |
$0.00 |
| 81001 |
|
57 |
49 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
58 |
53 |
$0.00 |
| 0240U |
|
27 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
52 |
41 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$0.00 |
| 83550 |
|
13 |
12 |
$0.00 |