| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,438 |
3,160 |
$338K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
40 |
37 |
$100K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
490 |
458 |
$65K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
615 |
529 |
$44K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
675 |
667 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,099 |
1,046 |
$31K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
234 |
231 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
67 |
65 |
$5K |
| 87631 |
|
110 |
55 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,499 |
4,936 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
91 |
56 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
86 |
74 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,808 |
1,592 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$1K |
| 86900 |
|
26 |
25 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
37 |
36 |
$1K |
| 80053 |
Comprehensive metabolic panel |
914 |
820 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
32 |
24 |
$812.32 |
| 87800 |
|
25 |
15 |
$786.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
78 |
76 |
$609.84 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
12 |
$455.20 |
| 88142 |
|
26 |
24 |
$372.60 |
| 85027 |
|
57 |
55 |
$349.36 |
| 83970 |
|
146 |
113 |
$258.15 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
55 |
46 |
$145.40 |
| 82950 |
|
32 |
26 |
$143.64 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
86 |
80 |
$116.64 |
| 84295 |
|
104 |
61 |
$88.80 |
| 81001 |
|
205 |
180 |
$81.64 |
| 81025 |
|
12 |
12 |
$70.72 |
| 82728 |
|
204 |
174 |
$50.02 |
| 84100 |
|
53 |
52 |
$40.25 |
| 84520 |
|
199 |
111 |
$24.52 |
| 85014 |
|
167 |
123 |
$12.78 |
| 85018 |
|
167 |
123 |
$12.78 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
101 |
88 |
$0.00 |
| 82310 |
|
86 |
37 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,454 |
113 |
$0.00 |
| 82108 |
|
15 |
13 |
$0.00 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
1,461 |
113 |
$0.00 |
| 84450 |
|
116 |
98 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
38 |
37 |
$0.00 |
| 83540 |
|
120 |
102 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
25 |
$0.00 |
| 90662 |
|
14 |
12 |
$0.00 |
| 83550 |
|
120 |
102 |
$0.00 |
| 84484 |
|
28 |
26 |
$0.00 |
| 84075 |
|
116 |
98 |
$0.00 |
| 80069 |
|
116 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$0.00 |
| 83615 |
|
117 |
99 |
$0.00 |
| 83735 |
|
40 |
37 |
$0.00 |
| 86901 |
|
26 |
25 |
$0.00 |
| 83690 |
|
14 |
13 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |