| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,246 |
1,227 |
$650K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,438 |
1,832 |
$530K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,534 |
3,054 |
$464K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
464 |
457 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,188 |
953 |
$61K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,118 |
1,091 |
$58K |
| 36415 |
Collection of venous blood by venipuncture |
7,247 |
6,419 |
$28K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
70 |
66 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
364 |
166 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,692 |
1,507 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,296 |
2,132 |
$14K |
| 81003 |
|
2,938 |
2,098 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
228 |
$5K |
| 80055 |
|
26 |
26 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
188 |
169 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
118 |
$3K |
| 81001 |
|
467 |
438 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 87420 |
|
77 |
77 |
$1K |
| 87634 |
|
13 |
13 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 87631 |
|
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
241 |
236 |
$888.63 |
| 81025 |
|
113 |
108 |
$879.74 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
12 |
$700.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
24 |
$629.37 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
25 |
25 |
$436.99 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
35 |
28 |
$317.68 |
| 99001 |
|
42 |
41 |
$306.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$269.77 |
| 86701 |
|
28 |
28 |
$244.94 |
| 87081 |
|
28 |
28 |
$221.58 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
57 |
$212.37 |
| 86710 |
|
12 |
12 |
$192.17 |
| 80061 |
Lipid panel |
48 |
47 |
$99.56 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
15 |
13 |
$62.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$56.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$40.55 |
| 84436 |
|
13 |
13 |
$9.41 |
| 82248 |
|
13 |
13 |
$3.49 |