| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,580 |
5,481 |
$826K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,504 |
409 |
$532K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,196 |
5,376 |
$156K |
| 70320 |
|
1,066 |
862 |
$151K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,797 |
1,362 |
$143K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,094 |
757 |
$137K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,682 |
7,072 |
$118K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,874 |
10,408 |
$89K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,617 |
2,112 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,160 |
1,584 |
$79K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,178 |
853 |
$72K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
277 |
172 |
$45K |
| 71045 |
Radiologic examination, chest; single view |
1,462 |
1,019 |
$45K |
| 80053 |
Comprehensive metabolic panel |
5,226 |
3,944 |
$36K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,200 |
1,761 |
$32K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
955 |
171 |
$27K |
| D0330 |
Panoramic radiographic image |
622 |
473 |
$25K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
695 |
483 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
7,654 |
5,118 |
$16K |
| 87420 |
|
1,329 |
1,113 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
151 |
117 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
330 |
276 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
79 |
12 |
$13K |
| 81001 |
|
4,668 |
3,615 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,931 |
1,680 |
$10K |
| 87428 |
|
166 |
153 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,616 |
1,214 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
628 |
513 |
$7K |
| 80061 |
Lipid panel |
819 |
678 |
$6K |
| 81025 |
|
816 |
658 |
$5K |
| 36416 |
|
9,243 |
7,250 |
$4K |
| 80305 |
|
486 |
401 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
117 |
89 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
12 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
927 |
677 |
$1K |
| 85007 |
|
484 |
345 |
$1K |
| D9310 |
|
17 |
17 |
$1K |
| 83880 |
|
124 |
84 |
$927.66 |
| 84484 |
|
236 |
122 |
$891.72 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
850 |
637 |
$710.51 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27 |
24 |
$691.76 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
732 |
558 |
$682.17 |
| J3490 |
Unclassified drugs |
697 |
520 |
$492.89 |
| 85610 |
|
140 |
99 |
$474.85 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
20 |
15 |
$427.68 |
| 97016 |
|
69 |
15 |
$394.15 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
12 |
$347.38 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
13 |
$260.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
56 |
36 |
$206.55 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
16 |
$200.00 |
| 96376 |
|
82 |
59 |
$197.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
102 |
71 |
$159.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
623 |
509 |
$115.00 |
| 83735 |
|
19 |
15 |
$107.53 |
| 87077 |
|
19 |
15 |
$79.97 |
| 83605 |
|
71 |
28 |
$72.87 |
| 87186 |
|
14 |
12 |
$62.32 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18 |
14 |
$8.74 |
| 99157 |
|
67 |
57 |
$0.00 |
| 99156 |
|
927 |
696 |
$0.00 |