| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,556 |
8,251 |
$1.77M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,519 |
3,354 |
$925K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,405 |
4,111 |
$41K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
81 |
68 |
$39K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
813 |
372 |
$26K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
337 |
318 |
$25K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,206 |
1,130 |
$24K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
472 |
294 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
346 |
306 |
$13K |
| 80053 |
Comprehensive metabolic panel |
253 |
244 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
57 |
56 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
118 |
37 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
740 |
514 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
115 |
104 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
81 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
140 |
63 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
442 |
430 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
39 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
25 |
24 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
14 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
359 |
329 |
$1K |
| 85027 |
|
156 |
146 |
$751.30 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
14 |
$739.52 |
| 84484 |
|
49 |
42 |
$466.43 |
| 82248 |
|
43 |
39 |
$296.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$295.02 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
34 |
34 |
$222.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
28 |
$201.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
73 |
$149.51 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
50 |
45 |
$110.25 |
| 83690 |
|
12 |
12 |
$100.82 |
| 81001 |
|
32 |
29 |
$73.91 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$72.74 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
12 |
$57.11 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$51.88 |
| J7050 |
Infusion, normal saline solution, 250 cc |
36 |
24 |
$30.52 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
623 |
444 |
$0.00 |