| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,455 |
5,679 |
$1.01M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,171 |
3,404 |
$550K |
| 62323 |
|
661 |
506 |
$335K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,812 |
1,867 |
$332K |
| 80053 |
Comprehensive metabolic panel |
5,110 |
4,440 |
$80K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,034 |
661 |
$66K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,847 |
564 |
$51K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
78 |
76 |
$23K |
| 62321 |
|
56 |
40 |
$22K |
| 64483 |
|
32 |
24 |
$21K |
| 80305 |
|
278 |
217 |
$9K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
270 |
252 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
116 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
30 |
26 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
62 |
47 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,452 |
3,846 |
$4K |
| 83605 |
|
119 |
106 |
$2K |
| 0002A |
|
38 |
33 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
469 |
415 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
161 |
150 |
$2K |
| 0001A |
|
52 |
50 |
$2K |
| 36000 |
|
2,613 |
2,309 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
325 |
278 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
42 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
14 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,779 |
1,557 |
$921.40 |
| 84484 |
|
89 |
79 |
$759.60 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$681.12 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$505.32 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
39 |
$389.16 |
| 85027 |
|
18 |
18 |
$122.08 |
| 80069 |
|
17 |
13 |
$72.20 |
| 83615 |
|
27 |
25 |
$40.28 |
| 81001 |
|
67 |
61 |
$6.59 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,341 |
1,154 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
60 |
49 |
$0.00 |
| 99157 |
|
15 |
13 |
$0.00 |
| 76000 |
|
74 |
68 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
331 |
275 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
32 |
25 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
292 |
226 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
455 |
387 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
276 |
232 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
420 |
370 |
$0.00 |
| 83690 |
|
48 |
40 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
61 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
341 |
276 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
123 |
96 |
$0.00 |
| 99156 |
|
18 |
16 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
49 |
36 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
13 |
12 |
$0.00 |
| 85730 |
|
12 |
12 |
$0.00 |