| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,591 |
3,011 |
$461K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,323 |
1,190 |
$117K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
661 |
74 |
$107K |
| Y7506 |
|
961 |
792 |
$78K |
| X4011 |
State-specific procedure code |
256 |
181 |
$59K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
434 |
392 |
$30K |
| 80053 |
Comprehensive metabolic panel |
1,745 |
1,480 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,305 |
1,929 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
474 |
415 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
575 |
484 |
$19K |
| J3490 |
Unclassified drugs |
213 |
132 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
620 |
551 |
$17K |
| 87631 |
|
111 |
98 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
175 |
164 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,053 |
793 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
128 |
105 |
$4K |
| J7140 |
|
104 |
92 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$2K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
21 |
16 |
$2K |
| 84484 |
|
302 |
202 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
26 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
21 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
12 |
$1K |
| 81001 |
|
381 |
332 |
$644.99 |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
13 |
13 |
$600.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
106 |
93 |
$577.99 |
| 83690 |
|
98 |
85 |
$405.01 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
12 |
$225.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
14 |
$224.43 |
| 84439 |
|
15 |
14 |
$102.33 |
| 83605 |
|
12 |
12 |
$90.64 |
| 82043 |
|
15 |
14 |
$52.28 |
| 82570 |
|
15 |
14 |
$46.84 |
| A9270 |
Non-covered item or service |
16 |
12 |
$6.26 |