| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,113 |
3,565 |
$528K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,516 |
1,289 |
$344K |
| 80053 |
Comprehensive metabolic panel |
6,809 |
5,863 |
$266K |
| 36415 |
Collection of venous blood by venipuncture |
26,248 |
21,816 |
$189K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,140 |
2,773 |
$188K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,341 |
7,920 |
$149K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,314 |
1,154 |
$35K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
120 |
107 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
450 |
403 |
$25K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
410 |
364 |
$24K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
703 |
568 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
483 |
442 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
315 |
268 |
$16K |
| 80061 |
Lipid panel |
392 |
346 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
487 |
445 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
380 |
316 |
$7K |
| 86140 |
|
364 |
309 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
86 |
80 |
$5K |
| 85652 |
|
345 |
286 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
153 |
131 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
182 |
171 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
51 |
13 |
$4K |
| 81001 |
|
233 |
185 |
$3K |
| 84484 |
|
110 |
92 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
42 |
39 |
$2K |
| 81003 |
|
208 |
180 |
$2K |
| 84703 |
|
62 |
55 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
13 |
$2K |
| 82150 |
|
72 |
65 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
45 |
38 |
$1K |
| 83690 |
|
91 |
83 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
25 |
24 |
$1K |
| 81015 |
|
102 |
81 |
$1K |
| 83605 |
|
41 |
37 |
$1K |
| 87210 |
|
65 |
52 |
$1K |
| 74019 |
|
13 |
12 |
$960.32 |
| 87581 |
|
15 |
13 |
$838.88 |
| 87486 |
|
15 |
13 |
$838.88 |
| J2704 |
Injection, propofol, 10 mg |
51 |
37 |
$625.76 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$612.87 |
| 84145 |
|
12 |
12 |
$590.54 |
| 59025 |
Fetal non-stress test |
20 |
12 |
$545.31 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
12 |
$453.84 |
| 87899 |
|
14 |
12 |
$385.13 |
| 82947 |
|
27 |
26 |
$356.10 |
| 85027 |
|
14 |
12 |
$301.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
24 |
$249.37 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
13 |
$205.44 |
| 87428 |
|
22 |
18 |
$204.31 |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
14 |
12 |
$166.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$118.91 |
| A9270 |
Non-covered item or service |
95 |
77 |
$95.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$86.94 |