| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
296 |
254 |
$129K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
960 |
913 |
$127K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
724 |
659 |
$94K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
405 |
400 |
$57K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
621 |
584 |
$47K |
| 80053 |
Comprehensive metabolic panel |
945 |
850 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
107 |
105 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,770 |
1,522 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
348 |
342 |
$5K |
| 87400 |
|
173 |
169 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
56 |
12 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,211 |
1,053 |
$2K |
| 90686 |
|
142 |
142 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
164 |
153 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
104 |
99 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
38 |
12 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
152 |
146 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
44 |
$839.64 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
257 |
243 |
$820.66 |
| 80061 |
Lipid panel |
93 |
92 |
$578.50 |
| 0071A |
|
12 |
12 |
$515.20 |
| 87070 |
|
87 |
87 |
$473.52 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
186 |
174 |
$226.03 |
| 81003 |
|
556 |
521 |
$201.10 |
| 83690 |
|
298 |
279 |
$188.91 |
| 87077 |
|
69 |
65 |
$156.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$100.95 |
| 81001 |
|
74 |
67 |
$79.76 |
| 81025 |
|
70 |
67 |
$10.56 |
| 85610 |
|
17 |
15 |
$8.16 |
| 81015 |
|
121 |
115 |
$4.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
198 |
110 |
$0.00 |
| 80305 |
|
12 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
299 |
274 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
114 |
79 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
335 |
188 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16 |
12 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
13 |
$0.00 |