| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87506 |
|
1,480 |
1,444 |
$453K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,225 |
1,190 |
$377K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,960 |
2,853 |
$354K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
449 |
421 |
$130K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
81 |
77 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
626 |
597 |
$24K |
| 80053 |
Comprehensive metabolic panel |
2,722 |
2,436 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
118 |
114 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,085 |
2,710 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
323 |
310 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
275 |
219 |
$6K |
| 81001 |
|
1,807 |
1,673 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
113 |
107 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
36 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
482 |
468 |
$937.53 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$865.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
136 |
$583.70 |
| 80061 |
Lipid panel |
386 |
377 |
$558.79 |
| 81025 |
|
27 |
26 |
$280.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
201 |
199 |
$164.18 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
110 |
104 |
$144.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$109.68 |
| 87186 |
|
53 |
52 |
$40.30 |
| 87077 |
|
67 |
66 |
$37.64 |
| 93041 |
|
19 |
19 |
$34.88 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$28.42 |
| 82550 |
|
132 |
110 |
$26.73 |
| 83874 |
|
82 |
70 |
$17.70 |
| 84484 |
|
115 |
96 |
$17.08 |
| 82553 |
|
115 |
96 |
$15.82 |
| 36415 |
Collection of venous blood by venipuncture |
2,090 |
1,672 |
$7.39 |
| 85610 |
|
13 |
12 |
$4.12 |
| 87088 |
|
104 |
98 |
$0.13 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
65 |
64 |
$0.00 |
| 83880 |
|
25 |
25 |
$0.00 |
| J3490 |
Unclassified drugs |
29 |
29 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$0.00 |