| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
561 |
353 |
$75K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
456 |
247 |
$64K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
444 |
289 |
$55K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
870 |
155 |
$27K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
196 |
163 |
$18K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
39 |
29 |
$11K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
680 |
111 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
314 |
224 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,646 |
1,083 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
88 |
58 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,537 |
1,584 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,569 |
2,027 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$1K |
| 87430 |
|
88 |
80 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
42 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
106 |
63 |
$734.98 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
46 |
42 |
$597.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
30 |
$490.56 |
| 83605 |
|
630 |
380 |
$379.90 |
| 86140 |
|
58 |
39 |
$171.72 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
85 |
53 |
$69.54 |
| 83735 |
|
59 |
44 |
$31.30 |
| 81001 |
|
143 |
116 |
$29.07 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
62 |
42 |
$0.00 |
| 84484 |
|
92 |
52 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
29 |
16 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
46 |
12 |
$0.00 |