| Code | Description | Claims | Bene. Records | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
863 |
820 |
$114K |
| 71046 |
Radiologic examination, chest; 2 views |
471 |
438 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
719 |
593 |
$30K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
155 |
129 |
$21K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
130 |
112 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,533 |
1,380 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,572 |
1,388 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
566 |
523 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,927 |
2,471 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
141 |
127 |
$5K |
| 80061 |
Lipid panel |
246 |
235 |
$3K |
| 70120 |
|
28 |
26 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
93 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
28 |
$2K |
| 84439 |
|
233 |
216 |
$2K |
| 81000 |
|
799 |
699 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
197 |
190 |
$2K |
| 83880 |
|
78 |
76 |
$2K |
| 82248 |
|
340 |
318 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
42 |
$773.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$588.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
26 |
$476.59 |
| 85027 |
|
42 |
37 |
$244.96 |
| 80305 |
|
15 |
12 |
$149.60 |
| 83735 |
|
27 |
25 |
$140.72 |
| 81025 |
|
13 |
13 |
$103.32 |
| 85007 |
|
42 |
37 |
$102.30 |
| 83690 |
|
12 |
12 |
$76.59 |
| 82150 |
|
12 |
12 |
$72.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
18 |
15 |
$70.38 |
| 84100 |
|
13 |
13 |
$35.10 |