| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,797 |
1,739 |
$132K |
| 80053 |
Comprehensive metabolic panel |
1,031 |
997 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
196 |
196 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
810 |
784 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
259 |
254 |
$7K |
| 80061 |
Lipid panel |
314 |
312 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
77 |
75 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
75 |
75 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
279 |
279 |
$4K |
| 0450 |
Emergency room services |
548 |
506 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
32 |
29 |
$2K |
| Z7502 |
|
135 |
121 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
70 |
70 |
$2K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,035 |
561 |
$2K |
| 87430 |
|
74 |
74 |
$2K |
| 84439 |
|
119 |
117 |
$2K |
| 82607 |
|
59 |
59 |
$1K |
| 83735 |
|
144 |
142 |
$1K |
| 84484 |
|
59 |
58 |
$721.27 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
51 |
48 |
$515.47 |
| 83690 |
|
60 |
58 |
$474.70 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
12 |
$341.75 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$293.67 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
47 |
44 |
$264.72 |
| 83605 |
|
14 |
13 |
$208.28 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$188.89 |
| Z7610 |
|
23 |
16 |
$138.77 |
| 81002 |
|
28 |
28 |
$133.61 |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$122.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$92.40 |
| 81001 |
|
15 |
15 |
$55.87 |
| J3490 |
Unclassified drugs |
72 |
27 |
$28.65 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
67 |
$19.95 |
| 0510 |
|
48 |
46 |
$0.00 |