| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
391 |
337 |
$13K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
217 |
186 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
102 |
89 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
133 |
$5K |
| 80053 |
Comprehensive metabolic panel |
404 |
358 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
92 |
83 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
315 |
271 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
91 |
88 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
38 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
14 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
13 |
$662.75 |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
60 |
$560.41 |
| 85027 |
|
79 |
56 |
$451.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
42 |
$404.88 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
23 |
$367.00 |
| 80061 |
Lipid panel |
32 |
32 |
$342.36 |
| 81001 |
|
116 |
104 |
$340.55 |
| 87280 |
|
19 |
17 |
$316.96 |
| 86403 |
|
16 |
16 |
$265.65 |
| 84484 |
|
22 |
16 |
$246.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
27 |
$171.73 |
| 82550 |
|
21 |
14 |
$152.32 |
| 85007 |
|
79 |
56 |
$103.49 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$92.47 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$81.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
27 |
$75.45 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$50.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
25 |
$29.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
13 |
$23.11 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$14.03 |
| 36415 |
Collection of venous blood by venipuncture |
245 |
179 |
$10.32 |
| J7050 |
Infusion, normal saline solution, 250 cc |
18 |
15 |
$5.06 |