| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
731 |
673 |
$92K |
| 80053 |
Comprehensive metabolic panel |
1,731 |
1,485 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
739 |
706 |
$71K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
337 |
289 |
$58K |
| 87428 |
|
789 |
757 |
$56K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,018 |
1,672 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
500 |
$24K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
101 |
92 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
700 |
360 |
$20K |
| 81001 |
|
1,052 |
935 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
366 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
46 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
277 |
52 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
250 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,006 |
792 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
54 |
49 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
194 |
188 |
$8K |
| J3490 |
Unclassified drugs |
569 |
339 |
$8K |
| 87807 |
|
148 |
148 |
$7K |
| 85018 |
|
383 |
377 |
$6K |
| 81025 |
|
211 |
199 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
150 |
138 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
37 |
25 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
76 |
64 |
$3K |
| 80061 |
Lipid panel |
71 |
69 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$2K |
| 87420 |
|
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
26 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
59 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
12 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
290 |
158 |
$962.62 |
| 83655 |
|
13 |
13 |
$866.32 |
| 71045 |
Radiologic examination, chest; single view |
14 |
12 |
$837.20 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
34 |
28 |
$772.30 |
| 81003 |
|
15 |
15 |
$353.28 |