| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,335 |
1,127 |
$291K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,266 |
1,948 |
$272K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
676 |
583 |
$30K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
411 |
377 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
710 |
639 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
369 |
164 |
$5K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
755 |
623 |
$4K |
| 80053 |
Comprehensive metabolic panel |
4,601 |
3,552 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,218 |
3,907 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
474 |
351 |
$2K |
| 80050 |
General health panel |
294 |
268 |
$1K |
| 84484 |
|
1,170 |
936 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,259 |
1,782 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
269 |
214 |
$580.30 |
| 80061 |
Lipid panel |
751 |
584 |
$412.50 |
| 81001 |
|
1,705 |
1,457 |
$310.06 |
| 70450 |
Computed tomography, head or brain; without contrast material |
112 |
91 |
$215.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
146 |
125 |
$167.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
150 |
108 |
$163.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
497 |
359 |
$141.15 |
| 83880 |
|
46 |
41 |
$113.97 |
| 71045 |
Radiologic examination, chest; single view |
335 |
286 |
$97.30 |
| 85610 |
|
97 |
91 |
$85.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
15 |
$83.81 |
| 85730 |
|
26 |
24 |
$61.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$48.86 |
| 83735 |
|
1,274 |
954 |
$41.52 |
| 82948 |
|
70 |
29 |
$36.75 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
80 |
54 |
$14.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
882 |
668 |
$9.94 |
| 83690 |
|
29 |
26 |
$8.89 |
| 84439 |
|
58 |
52 |
$0.00 |
| 84550 |
|
14 |
13 |
$0.00 |
| 83655 |
|
119 |
79 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
723 |
563 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
67 |
51 |
$0.00 |
| 81003 |
|
43 |
42 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
64 |
52 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
42 |
25 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
127 |
124 |
$0.00 |
| 83605 |
|
35 |
26 |
$0.00 |
| 82550 |
|
48 |
42 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
46 |
39 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
12 |
$0.00 |
| 82962 |
|
17 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
20 |
13 |
$0.00 |