| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,025 |
3,194 |
$850K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,005 |
3,457 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,139 |
7,128 |
$484K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,644 |
4,384 |
$350K |
| A0425 |
Ground mileage, per statute mile |
1,447 |
1,147 |
$338K |
| 80053 |
Comprehensive metabolic panel |
4,565 |
4,055 |
$315K |
| 36415 |
Collection of venous blood by venipuncture |
15,336 |
12,749 |
$234K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,564 |
8,260 |
$179K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,062 |
2,596 |
$102K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,260 |
439 |
$82K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
229 |
173 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
597 |
$57K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,250 |
723 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,053 |
1,550 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
554 |
506 |
$22K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45 |
39 |
$20K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
60 |
53 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
706 |
682 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
255 |
224 |
$10K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
28 |
26 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
207 |
187 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
565 |
504 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
98 |
94 |
$7K |
| 80306 |
|
106 |
94 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
219 |
203 |
$6K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
28 |
28 |
$6K |
| 80061 |
Lipid panel |
154 |
143 |
$5K |
| 81001 |
|
380 |
351 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38 |
37 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
147 |
140 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
419 |
354 |
$4K |
| 84484 |
|
84 |
78 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
82 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
58 |
53 |
$3K |
| 87081 |
|
226 |
220 |
$3K |
| J3490 |
Unclassified drugs |
150 |
116 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$2K |
| 87807 |
|
96 |
95 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
12 |
$2K |
| 83605 |
|
92 |
77 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
596 |
416 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
29 |
25 |
$999.30 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
14 |
$870.74 |
| 83735 |
|
31 |
26 |
$593.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$469.18 |
| 80076 |
|
12 |
12 |
$428.92 |
| 82728 |
|
12 |
12 |
$329.82 |
| 85610 |
|
12 |
12 |
$270.77 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
23 |
13 |
$258.94 |
| 83540 |
|
12 |
12 |
$205.11 |
| 96161 |
|
13 |
13 |
$0.00 |
| 80320 |
|
13 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |