| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
521 |
302 |
$130K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
141 |
69 |
$62K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
355 |
286 |
$58K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
123 |
86 |
$28K |
| 80053 |
Comprehensive metabolic panel |
2,985 |
2,359 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,446 |
4,145 |
$11K |
| A0425 |
Ground mileage, per statute mile |
506 |
388 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,319 |
2,569 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
72 |
50 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
103 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
51 |
40 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
32 |
27 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
29 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
34 |
27 |
$2K |
| 80306 |
|
107 |
83 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
50 |
44 |
$1K |
| 80061 |
Lipid panel |
128 |
104 |
$700.04 |
| 84443 |
Thyroid stimulating hormone (TSH) |
100 |
84 |
$684.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
165 |
132 |
$571.81 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
26 |
$524.64 |
| 84482 |
|
37 |
33 |
$320.81 |
| 84480 |
|
37 |
33 |
$276.52 |
| 84403 |
|
15 |
15 |
$267.72 |
| 82670 |
|
14 |
14 |
$265.54 |
| 84402 |
|
15 |
15 |
$264.24 |
| 82627 |
|
15 |
15 |
$230.64 |
| 84484 |
|
40 |
26 |
$215.73 |
| 84144 |
|
13 |
13 |
$198.33 |
| 84439 |
|
36 |
32 |
$183.52 |
| J2704 |
Injection, propofol, 10 mg |
14 |
14 |
$174.43 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$119.73 |
| 86141 |
|
12 |
12 |
$89.52 |
| 81001 |
|
51 |
40 |
$67.04 |
| 83605 |
|
17 |
12 |
$64.89 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19 |
15 |
$56.50 |
| 83690 |
|
15 |
12 |
$40.11 |
| 82542 |
|
13 |
13 |
$0.00 |