| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,652 |
1,804 |
$394K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
940 |
651 |
$151K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,084 |
1,590 |
$127K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,332 |
455 |
$64K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,575 |
1,293 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,203 |
1,538 |
$34K |
| 80053 |
Comprehensive metabolic panel |
5,794 |
4,187 |
$29K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,304 |
1,026 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,088 |
423 |
$16K |
| 97161 |
|
162 |
110 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
278 |
231 |
$7K |
| 83735 |
|
349 |
254 |
$6K |
| 87807 |
|
141 |
114 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
599 |
474 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,019 |
4,292 |
$3K |
| 80050 |
General health panel |
53 |
52 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
55 |
41 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
358 |
248 |
$2K |
| 80061 |
Lipid panel |
1,537 |
1,327 |
$2K |
| 93000 |
|
370 |
222 |
$2K |
| 81001 |
|
2,442 |
1,785 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
137 |
52 |
$984.24 |
| 0012A |
|
88 |
71 |
$965.26 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
413 |
304 |
$719.45 |
| 0013A |
|
39 |
37 |
$680.00 |
| 0011A |
|
89 |
67 |
$592.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
438 |
250 |
$542.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,412 |
1,225 |
$497.53 |
| 90632 |
|
18 |
18 |
$324.00 |
| 71045 |
Radiologic examination, chest; single view |
271 |
190 |
$277.84 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
811 |
272 |
$188.58 |
| 87081 |
|
190 |
156 |
$157.93 |
| 84439 |
|
356 |
277 |
$105.32 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
769 |
479 |
$102.37 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
70 |
55 |
$91.67 |
| 85610 |
|
370 |
253 |
$59.63 |
| 86756 |
|
12 |
12 |
$50.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
205 |
100 |
$44.27 |
| 97014 |
|
350 |
97 |
$28.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
215 |
181 |
$24.54 |
| 83690 |
|
387 |
275 |
$18.80 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
217 |
135 |
$13.36 |
| 86709 |
|
19 |
19 |
$7.68 |
| 84484 |
|
461 |
256 |
$0.00 |
| 83605 |
|
33 |
26 |
$0.00 |
| 87184 |
|
20 |
12 |
$0.00 |
| 85652 |
|
83 |
74 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
500 |
407 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
94 |
53 |
$0.00 |
| 0003A |
|
13 |
12 |
$0.00 |
| 82248 |
|
21 |
15 |
$0.00 |
| 83540 |
|
14 |
12 |
$0.00 |