| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,212 |
1,876 |
$233K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
850 |
635 |
$142K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
436 |
310 |
$67K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
766 |
216 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
146 |
133 |
$25K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
228 |
181 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,325 |
1,844 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
131 |
114 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,359 |
1,918 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
109 |
87 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
452 |
378 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
90 |
88 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,818 |
2,777 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
234 |
74 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
66 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
416 |
389 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
487 |
292 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
444 |
399 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
102 |
$1K |
| 81001 |
|
543 |
475 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
46 |
14 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
15 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
110 |
94 |
$767.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
197 |
185 |
$737.52 |
| 85610 |
|
387 |
250 |
$705.97 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$688.48 |
| 84484 |
|
111 |
78 |
$503.96 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
100 |
81 |
$459.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
34 |
$451.29 |
| 87186 |
|
67 |
53 |
$307.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
161 |
132 |
$280.17 |
| 83880 |
|
30 |
25 |
$234.59 |
| 80061 |
Lipid panel |
61 |
55 |
$211.49 |
| 83605 |
|
44 |
42 |
$184.15 |
| 87081 |
|
25 |
22 |
$134.13 |
| 85027 |
|
32 |
26 |
$122.10 |
| 81003 |
|
43 |
37 |
$116.42 |
| 81025 |
|
13 |
13 |
$93.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$72.62 |
| A9270 |
Non-covered item or service |
133 |
67 |
$52.57 |
| 71045 |
Radiologic examination, chest; single view |
22 |
13 |
$47.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$13.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$12.43 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
12 |
$0.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
14 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
15 |
14 |
$0.00 |