| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
473 |
459 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
479 |
417 |
$71K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
470 |
419 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
296 |
281 |
$53K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
72 |
63 |
$30K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
92 |
90 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
86 |
25 |
$8K |
| 87631 |
|
55 |
53 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
303 |
278 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$2K |
| 80051 |
|
208 |
182 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
126 |
125 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
94 |
92 |
$999.86 |
| 90686 |
|
33 |
33 |
$957.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$872.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
54 |
54 |
$812.80 |
| 81025 |
|
101 |
95 |
$645.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
77 |
$503.90 |
| 81001 |
|
95 |
91 |
$277.78 |
| 80061 |
Lipid panel |
30 |
30 |
$181.54 |
| 85027 |
|
32 |
26 |
$169.63 |
| 80305 |
|
17 |
12 |
$151.64 |
| 83690 |
|
24 |
24 |
$150.96 |
| 84484 |
|
13 |
12 |
$138.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$134.31 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$134.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$132.90 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
106 |
102 |
$111.44 |
| 82565 |
|
222 |
195 |
$59.21 |
| 81003 |
|
18 |
17 |
$36.90 |
| 80076 |
|
13 |
13 |
$36.10 |
| 84450 |
|
78 |
70 |
$13.87 |
| 82247 |
|
56 |
52 |
$8.06 |
| 84460 |
|
80 |
72 |
$6.94 |
| 84520 |
|
206 |
184 |
$6.94 |
| 82947 |
|
191 |
176 |
$3.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |
| 84075 |
|
43 |
39 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
93 |
88 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
330 |
311 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
57 |
54 |
$0.00 |