| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
6,174 |
5,526 |
$1.94M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,239 |
7,398 |
$999K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,841 |
2,912 |
$906K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,653 |
4,318 |
$824K |
| Y7506 |
|
5,400 |
4,681 |
$763K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,010 |
8,684 |
$482K |
| 80053 |
Comprehensive metabolic panel |
9,561 |
7,443 |
$279K |
| 81001 |
|
3,346 |
2,890 |
$185K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,195 |
1,611 |
$167K |
| 87400 |
|
717 |
423 |
$159K |
| 71045 |
Radiologic examination, chest; single view |
1,831 |
1,515 |
$99K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,063 |
932 |
$81K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
258 |
241 |
$67K |
| 36415 |
Collection of venous blood by venipuncture |
5,387 |
3,686 |
$59K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
379 |
349 |
$53K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
423 |
373 |
$50K |
| J3490 |
Unclassified drugs |
2,948 |
2,566 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
261 |
227 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
125 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
234 |
203 |
$41K |
| 84484 |
|
1,039 |
728 |
$37K |
| 87081 |
|
93 |
91 |
$32K |
| 94762 |
|
131 |
123 |
$18K |
| 83605 |
|
671 |
502 |
$18K |
| A0425 |
Ground mileage, per statute mile |
1,176 |
920 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
941 |
824 |
$17K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
269 |
230 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,317 |
1,139 |
$15K |
| 87631 |
|
83 |
74 |
$13K |
| 80061 |
Lipid panel |
1,049 |
907 |
$10K |
| 83880 |
|
461 |
304 |
$10K |
| 84481 |
|
1,025 |
884 |
$10K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
28 |
25 |
$10K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
184 |
140 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
44 |
$9K |
| 82607 |
|
849 |
741 |
$9K |
| 84439 |
|
1,115 |
953 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
63 |
56 |
$7K |
| G0378 |
Hospital observation service, per hour |
18 |
15 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
483 |
401 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
116 |
95 |
$3K |
| 85610 |
|
85 |
76 |
$2K |
| 87040 |
|
40 |
25 |
$2K |
| 82550 |
|
69 |
51 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
122 |
$1K |
| 85027 |
|
202 |
179 |
$502.08 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
57 |
$498.09 |
| 87807 |
|
12 |
12 |
$155.50 |
| 85730 |
|
55 |
52 |
$90.08 |
| 83690 |
|
31 |
25 |
$88.71 |