| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,631 |
3,295 |
$163K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
511 |
473 |
$52K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,143 |
1,048 |
$50K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
929 |
781 |
$43K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
146 |
139 |
$37K |
| 80053 |
Comprehensive metabolic panel |
2,115 |
1,872 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,090 |
1,862 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
769 |
676 |
$9K |
| 81000 |
|
1,219 |
1,097 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
14 |
$5K |
| 11043 |
|
25 |
12 |
$3K |
| 64493 |
|
24 |
15 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
35 |
29 |
$2K |
| 83690 |
|
230 |
205 |
$1K |
| 87150 |
|
49 |
43 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
225 |
199 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
97 |
89 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$1K |
| 83735 |
|
157 |
141 |
$1K |
| 82150 |
|
172 |
154 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$1K |
| 81025 |
|
176 |
160 |
$662.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
50 |
49 |
$652.00 |
| 87481 |
|
14 |
14 |
$482.68 |
| 84484 |
|
44 |
38 |
$370.50 |
| 87640 |
|
14 |
13 |
$326.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
13 |
$308.61 |
| 87653 |
|
13 |
13 |
$293.58 |
| 85027 |
|
204 |
110 |
$293.33 |
| 72100 |
|
15 |
13 |
$236.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
169 |
151 |
$122.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
12 |
$51.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
66 |
64 |
$44.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
40 |
36 |
$3.35 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
29 |
27 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
23 |
19 |
$0.00 |
| 64494 |
|
24 |
15 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
70 |
40 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
17 |
15 |
$0.00 |