| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,475 |
1,344 |
$333K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
757 |
666 |
$220K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
751 |
716 |
$107K |
| 80053 |
Comprehensive metabolic panel |
2,635 |
2,274 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,766 |
2,317 |
$60K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
459 |
438 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
662 |
586 |
$29K |
| 81001 |
|
1,737 |
1,551 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,880 |
1,702 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
670 |
643 |
$19K |
| J3490 |
Unclassified drugs |
1,679 |
956 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
1,904 |
1,568 |
$18K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
299 |
258 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
627 |
559 |
$16K |
| 86140 |
|
416 |
368 |
$11K |
| 85027 |
|
680 |
636 |
$9K |
| 80061 |
Lipid panel |
277 |
266 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
77 |
68 |
$5K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
945 |
454 |
$4K |
| 87634 |
|
54 |
54 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
240 |
225 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
32 |
27 |
$3K |
| 84439 |
|
150 |
146 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
65 |
51 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
141 |
126 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
26 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
24 |
$588.05 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
26 |
$291.92 |
| 81003 |
|
13 |
13 |
$135.85 |
| 85610 |
|
14 |
12 |
$103.95 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
14 |
13 |
$85.18 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
397 |
264 |
$34.21 |