| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0270 |
|
205 |
194 |
$20K |
| 0250 |
|
58 |
53 |
$15K |
| 0636 |
|
13 |
12 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,983 |
1,778 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,017 |
1,822 |
$8K |
| 0300 |
|
26 |
24 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
351 |
337 |
$4K |
| 0301 |
|
13 |
12 |
$2K |
| 80061 |
Lipid panel |
365 |
358 |
$2K |
| 0450 |
Emergency room services |
49 |
42 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
174 |
152 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
205 |
202 |
$697.21 |
| 94760 |
|
557 |
504 |
$684.63 |
| 71046 |
Radiologic examination, chest; 2 views |
57 |
52 |
$465.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
36 |
$382.66 |
| 36000 |
|
24 |
24 |
$284.12 |
| 83880 |
|
40 |
37 |
$158.74 |
| 83735 |
|
54 |
50 |
$84.90 |
| 83605 |
|
72 |
65 |
$75.86 |
| 84439 |
|
14 |
14 |
$59.94 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
42 |
$39.86 |
| 85610 |
|
14 |
12 |
$19.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
26 |
24 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$0.00 |
| 81001 |
|
35 |
30 |
$0.00 |
| 84484 |
|
14 |
14 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 0270R |
|
160 |
155 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
93 |
90 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
19 |
$0.00 |