| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
192 |
192 |
$31K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
389 |
354 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,920 |
1,701 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
208 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
190 |
178 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,245 |
1,093 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
316 |
308 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
12 |
$734.71 |
| 85027 |
|
107 |
93 |
$700.07 |
| 80061 |
Lipid panel |
99 |
99 |
$499.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
30 |
$494.94 |
| 81001 |
|
134 |
113 |
$413.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
15 |
$398.37 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
45 |
37 |
$281.41 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$118.26 |
| 36415 |
Collection of venous blood by venipuncture |
2,213 |
1,851 |
$86.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
43 |
$61.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$42.14 |
| 85007 |
|
19 |
14 |
$17.88 |
| 85610 |
|
18 |
12 |
$11.17 |