| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,046 |
797 |
$118K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,319 |
926 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
2,447 |
1,682 |
$40K |
| 80053 |
Comprehensive metabolic panel |
548 |
427 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
205 |
156 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
503 |
459 |
$17K |
| 83735 |
|
132 |
100 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
41 |
32 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
28 |
$3K |
| 87428 |
|
63 |
49 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$1K |
| 87899 |
|
38 |
33 |
$1K |
| 84484 |
|
20 |
13 |
$962.00 |
| 82607 |
|
13 |
13 |
$795.88 |
| A0425 |
Ground mileage, per statute mile |
15 |
12 |
$501.64 |
| 83605 |
|
40 |
29 |
$450.31 |
| 85027 |
|
13 |
12 |
$410.67 |
| 86900 |
|
12 |
12 |
$292.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$90.43 |