| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,601 |
6,107 |
$1.21M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,878 |
4,970 |
$841K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
768 |
535 |
$108K |
| 80053 |
Comprehensive metabolic panel |
4,757 |
3,962 |
$74K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
390 |
359 |
$48K |
| 87631 |
|
227 |
197 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
712 |
620 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,599 |
5,497 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
411 |
393 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
201 |
173 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
26 |
$10K |
| 87400 |
|
255 |
132 |
$10K |
| 87081 |
|
259 |
257 |
$7K |
| 87653 |
|
70 |
70 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
135 |
40 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
346 |
306 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
207 |
166 |
$4K |
| J3490 |
Unclassified drugs |
1,494 |
1,092 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
34 |
33 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
588 |
512 |
$3K |
| 86592 |
|
112 |
91 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
589 |
491 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$944.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
39 |
$591.72 |
| 80061 |
Lipid panel |
84 |
78 |
$518.10 |
| 87070 |
|
14 |
14 |
$510.72 |
| 87210 |
|
27 |
26 |
$256.08 |
| 85027 |
|
32 |
25 |
$120.94 |
| 84481 |
|
17 |
13 |
$84.42 |
| 86780 |
|
14 |
12 |
$71.29 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,867 |
1,443 |
$70.82 |
| 81001 |
|
116 |
101 |
$22.08 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
453 |
378 |
$8.90 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
172 |
124 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
26 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
114 |
88 |
$0.00 |
| 83690 |
|
134 |
108 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$0.00 |