| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,012 |
3,810 |
$528K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,792 |
2,605 |
$315K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
154 |
152 |
$43K |
| 80053 |
Comprehensive metabolic panel |
3,489 |
3,269 |
$42K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
362 |
332 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
248 |
227 |
$24K |
| 87631 |
|
252 |
240 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
160 |
156 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
256 |
239 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
745 |
629 |
$3K |
| G0378 |
Hospital observation service, per hour |
32 |
12 |
$2K |
| J3490 |
Unclassified drugs |
1,397 |
977 |
$2K |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
28 |
27 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
38 |
$1K |
| 86769 |
|
30 |
30 |
$1K |
| 80061 |
Lipid panel |
523 |
454 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,256 |
3,023 |
$1K |
| 84439 |
|
289 |
274 |
$892.97 |
| 85027 |
|
143 |
142 |
$608.61 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
49 |
$361.33 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
648 |
616 |
$305.90 |
| 82607 |
|
40 |
39 |
$263.68 |
| 82247 |
|
18 |
13 |
$231.00 |
| 86140 |
|
298 |
287 |
$229.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
68 |
$228.85 |
| 80050 |
General health panel |
72 |
35 |
$175.76 |
| 82950 |
|
46 |
46 |
$171.14 |
| 86900 |
|
50 |
49 |
$157.05 |
| 85652 |
|
56 |
53 |
$110.40 |
| 86901 |
|
50 |
49 |
$78.75 |
| 84466 |
|
12 |
12 |
$69.29 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$67.40 |
| 86850 |
|
47 |
46 |
$40.03 |
| 84481 |
|
26 |
26 |
$35.84 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
2,130 |
1,530 |
$35.58 |
| 83540 |
|
12 |
12 |
$34.83 |
| J2704 |
Injection, propofol, 10 mg |
96 |
77 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
149 |
143 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
276 |
261 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
729 |
692 |
$0.00 |
| 83735 |
|
203 |
190 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
460 |
436 |
$0.00 |
| 83690 |
|
92 |
91 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
79 |
77 |
$0.00 |
| 81001 |
|
67 |
65 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
60 |
37 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
48 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
25 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
157 |
147 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
24 |
$0.00 |
| 85610 |
|
27 |
26 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
12 |
$0.00 |