| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,919 |
7,856 |
$326K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,676 |
3,172 |
$204K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,532 |
3,333 |
$96K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,593 |
1,539 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,078 |
1,055 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,681 |
2,531 |
$52K |
| 80053 |
Comprehensive metabolic panel |
3,841 |
3,132 |
$31K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
191 |
154 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,046 |
3,317 |
$28K |
| 87088 |
|
3,167 |
2,141 |
$27K |
| 80306 |
|
2,760 |
1,818 |
$25K |
| 87807 |
|
1,644 |
1,593 |
$23K |
| 87081 |
|
1,135 |
1,067 |
$14K |
| 86780 |
|
665 |
626 |
$14K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
51 |
48 |
$9K |
| 83880 |
|
452 |
350 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
266 |
241 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
244 |
169 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
293 |
187 |
$5K |
| 86762 |
|
236 |
213 |
$5K |
| 81001 |
|
1,571 |
1,167 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
292 |
264 |
$4K |
| 87070 |
|
286 |
268 |
$4K |
| 87430 |
|
278 |
251 |
$4K |
| 87340 |
|
231 |
207 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
164 |
$3K |
| 81015 |
|
2,075 |
1,458 |
$3K |
| 86403 |
|
228 |
222 |
$3K |
| 83735 |
|
549 |
457 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
79 |
59 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
304 |
253 |
$2K |
| 86850 |
|
318 |
276 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
61 |
61 |
$2K |
| 81003 |
|
2,008 |
1,563 |
$2K |
| 86900 |
|
451 |
307 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
341 |
294 |
$1K |
| 87420 |
|
84 |
79 |
$1K |
| 86140 |
|
928 |
724 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
51 |
$871.51 |
| G0378 |
Hospital observation service, per hour |
283 |
207 |
$644.00 |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
65 |
$562.58 |
| 84484 |
|
93 |
75 |
$560.12 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
55 |
53 |
$546.21 |
| 86592 |
|
105 |
88 |
$515.10 |
| 82550 |
|
82 |
72 |
$403.20 |
| 84703 |
|
80 |
70 |
$363.96 |
| 85018 |
|
76 |
71 |
$320.60 |
| 85610 |
|
107 |
92 |
$305.37 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
217 |
134 |
$269.27 |
| 82553 |
|
26 |
25 |
$238.14 |
| 83021 |
|
14 |
12 |
$221.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
447 |
347 |
$220.00 |
| 83655 |
|
17 |
14 |
$218.66 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
14 |
$213.46 |
| 81025 |
|
53 |
50 |
$211.04 |
| 82150 |
|
28 |
26 |
$177.54 |
| 59025 |
Fetal non-stress test |
39 |
25 |
$154.64 |
| 85730 |
|
93 |
76 |
$113.88 |
| 86901 |
|
20 |
13 |
$81.70 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
46 |
24 |
$56.55 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
103 |
69 |
$48.17 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
182 |
133 |
$36.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
33 |
26 |
$27.20 |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
19 |
12 |
$20.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
39 |
$16.71 |
| 36415 |
Collection of venous blood by venipuncture |
1,166 |
762 |
$2.99 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
14 |
$1.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,976 |
1,646 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |