| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
846 |
400 |
$391K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,711 |
4,138 |
$333K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,382 |
1,152 |
$192K |
| 97597 |
|
853 |
282 |
$63K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
291 |
238 |
$56K |
| 80053 |
Comprehensive metabolic panel |
1,155 |
975 |
$41K |
| X4003 |
|
849 |
769 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
565 |
392 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
919 |
781 |
$30K |
| 87428 |
|
440 |
431 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
375 |
326 |
$11K |
| 95117 |
|
349 |
164 |
$8K |
| X4011 |
State-specific procedure code |
52 |
32 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
400 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
521 |
465 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
147 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
265 |
240 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
109 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
13 |
$763.76 |
| 87807 |
|
35 |
35 |
$451.63 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$307.42 |
| J3490 |
Unclassified drugs |
107 |
54 |
$240.25 |
| 81003 |
|
44 |
36 |
$120.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$86.33 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
16 |
12 |
$74.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$50.44 |