| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,114 |
975 |
$246K |
| 80053 |
Comprehensive metabolic panel |
2,231 |
1,909 |
$132K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,414 |
2,057 |
$84K |
| A0425 |
Ground mileage, per statute mile |
234 |
190 |
$62K |
| 36415 |
Collection of venous blood by venipuncture |
4,059 |
3,265 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
416 |
403 |
$41K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
116 |
96 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
177 |
128 |
$32K |
| 87631 |
|
184 |
176 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
75 |
65 |
$9K |
| 80061 |
Lipid panel |
232 |
221 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
71 |
68 |
$9K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
37 |
37 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
212 |
200 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
212 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
156 |
152 |
$5K |
| 87400 |
|
89 |
86 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
82 |
25 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
45 |
41 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
79 |
79 |
$4K |
| 81001 |
|
267 |
238 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
55 |
$4K |
| J3490 |
Unclassified drugs |
184 |
120 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
13 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
44 |
12 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
25 |
24 |
$2K |
| 84439 |
|
59 |
56 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$2K |
| 81003 |
|
101 |
97 |
$1K |
| 81002 |
|
107 |
99 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$1K |
| 84145 |
|
16 |
14 |
$1K |
| 87430 |
|
15 |
14 |
$718.35 |
| 87186 |
|
31 |
25 |
$682.02 |
| 87077 |
|
31 |
25 |
$531.44 |
| 86140 |
|
12 |
12 |
$445.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
27 |
$415.50 |
| 87088 |
|
17 |
15 |
$389.30 |
| 85610 |
|
19 |
12 |
$270.99 |
| 87205 |
|
17 |
15 |
$219.45 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
64 |
48 |
$183.60 |