| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,654 |
1,297 |
$1.09M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,691 |
2,112 |
$1.03M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,357 |
2,845 |
$689K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,924 |
1,666 |
$271K |
| 80053 |
Comprehensive metabolic panel |
5,086 |
4,343 |
$163K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,865 |
4,061 |
$157K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,040 |
1,114 |
$147K |
| 36415 |
Collection of venous blood by venipuncture |
7,666 |
6,088 |
$112K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,829 |
977 |
$84K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,349 |
1,103 |
$75K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
759 |
694 |
$69K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,244 |
1,099 |
$66K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,326 |
1,257 |
$60K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
463 |
163 |
$41K |
| 80061 |
Lipid panel |
1,046 |
1,003 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
410 |
329 |
$35K |
| 83605 |
|
716 |
529 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
13 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
673 |
505 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
172 |
146 |
$24K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
948 |
792 |
$23K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
514 |
409 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
752 |
715 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
130 |
116 |
$16K |
| 84484 |
|
467 |
329 |
$14K |
| 97161 |
|
182 |
172 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
195 |
179 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
121 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$5K |
| 81003 |
|
195 |
166 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
115 |
96 |
$4K |
| 81001 |
|
176 |
146 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
282 |
210 |
$4K |
| 99001 |
|
806 |
707 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
573 |
494 |
$2K |
| 84145 |
|
36 |
29 |
$2K |
| 83690 |
|
44 |
39 |
$2K |
| 80305 |
|
86 |
68 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
37 |
$1K |
| 86308 |
|
13 |
13 |
$687.73 |
| 85652 |
|
44 |
40 |
$679.90 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
85 |
80 |
$396.35 |
| 86140 |
|
14 |
12 |
$360.32 |
| 85610 |
|
20 |
12 |
$270.86 |
| 85027 |
|
14 |
12 |
$268.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
13 |
$242.60 |
| 83735 |
|
17 |
13 |
$189.54 |
| A9270 |
Non-covered item or service |
1,603 |
761 |
$69.09 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$0.00 |