| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,030 |
3,778 |
$157K |
| A0425 |
Ground mileage, per statute mile |
2,550 |
1,838 |
$77K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
675 |
524 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
744 |
683 |
$27K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
411 |
403 |
$17K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
127 |
122 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
127 |
123 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
541 |
529 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
230 |
215 |
$7K |
| 80053 |
Comprehensive metabolic panel |
897 |
830 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
17 |
15 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
106 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
765 |
712 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
66 |
56 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
33 |
13 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
18 |
$687.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
28 |
$508.75 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
25 |
23 |
$472.64 |
| 71046 |
Radiologic examination, chest; 2 views |
51 |
48 |
$399.21 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
39 |
$376.39 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
24 |
19 |
$352.78 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
23 |
12 |
$346.75 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
28 |
$237.78 |
| 80061 |
Lipid panel |
28 |
27 |
$224.34 |
| 87088 |
|
38 |
34 |
$158.52 |
| 86140 |
|
35 |
29 |
$134.81 |
| 81001 |
|
60 |
55 |
$115.50 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$110.10 |
| 71045 |
Radiologic examination, chest; single view |
20 |
19 |
$87.87 |
| 83690 |
|
15 |
14 |
$79.28 |
| 85027 |
|
19 |
14 |
$78.82 |
| 81025 |
|
12 |
12 |
$74.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
35 |
32 |
$70.34 |
| 81003 |
|
32 |
30 |
$34.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
43 |
33 |
$31.37 |
| 85610 |
|
16 |
13 |
$19.80 |
| 85007 |
|
18 |
13 |
$18.48 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
23 |
12 |
$15.10 |
| 36415 |
Collection of venous blood by venipuncture |
848 |
753 |
$7.54 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$7.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$6.50 |
| A9270 |
Non-covered item or service |
14 |
14 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
81 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
53 |
43 |
$0.00 |