| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,251 |
960 |
$86K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,009 |
777 |
$74K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
655 |
614 |
$35K |
| 80053 |
Comprehensive metabolic panel |
3,828 |
3,092 |
$30K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
414 |
262 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,613 |
2,742 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
158 |
153 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
519 |
442 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,065 |
3,120 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
608 |
554 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
198 |
184 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
582 |
559 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
86 |
28 |
$6K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32 |
27 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
523 |
437 |
$3K |
| 80061 |
Lipid panel |
407 |
397 |
$3K |
| A0425 |
Ground mileage, per statute mile |
83 |
68 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
85 |
75 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
297 |
263 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
62 |
60 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
449 |
383 |
$2K |
| 83605 |
|
261 |
229 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
572 |
554 |
$2K |
| 81003 |
|
559 |
517 |
$2K |
| 81001 |
|
669 |
611 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$2K |
| 84484 |
|
336 |
269 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
39 |
24 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
137 |
$1K |
| 85610 |
|
471 |
387 |
$927.32 |
| 83690 |
|
152 |
140 |
$920.69 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
43 |
40 |
$680.31 |
| 87186 |
|
126 |
111 |
$600.75 |
| 87077 |
|
130 |
115 |
$599.86 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
25 |
$574.95 |
| 86140 |
|
135 |
123 |
$569.70 |
| 85027 |
|
194 |
178 |
$569.61 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
135 |
126 |
$507.21 |
| 82550 |
|
147 |
113 |
$501.09 |
| 82553 |
|
82 |
63 |
$468.63 |
| 86769 |
|
14 |
14 |
$454.92 |
| 71045 |
Radiologic examination, chest; single view |
76 |
67 |
$322.64 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
69 |
60 |
$268.34 |
| 81025 |
|
27 |
27 |
$201.50 |
| 87430 |
|
16 |
16 |
$201.46 |
| J2704 |
Injection, propofol, 10 mg |
138 |
122 |
$195.31 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
12 |
$182.12 |
| 80305 |
|
12 |
12 |
$140.54 |
| 85730 |
|
45 |
41 |
$126.27 |
| 82570 |
|
51 |
50 |
$109.23 |
| 85652 |
|
34 |
27 |
$90.91 |
| 90662 |
|
20 |
19 |
$60.69 |
| 85379 |
|
13 |
12 |
$50.51 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
14 |
$39.26 |
| 82043 |
|
12 |
12 |
$38.58 |
| G0008 |
Administration of influenza virus vaccine |
20 |
19 |
$21.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$18.99 |
| A9270 |
Non-covered item or service |
173 |
59 |
$18.63 |