| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
9,161 |
8,748 |
$1.77M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,054 |
7,320 |
$996K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,214 |
4,960 |
$851K |
| Y7506 |
|
4,803 |
4,391 |
$638K |
| 80053 |
Comprehensive metabolic panel |
9,432 |
8,757 |
$456K |
| Y7507 |
|
1,247 |
1,164 |
$322K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,434 |
1,207 |
$307K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
818 |
798 |
$256K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,401 |
5,056 |
$199K |
| 85027 |
|
1,670 |
1,552 |
$198K |
| 85007 |
|
1,618 |
1,509 |
$194K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
914 |
864 |
$153K |
| 83690 |
|
1,804 |
1,699 |
$147K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,326 |
1,846 |
$145K |
| A0425 |
Ground mileage, per statute mile |
3,367 |
2,442 |
$134K |
| 84443 |
Thyroid stimulating hormone (TSH) |
992 |
928 |
$133K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,029 |
1,873 |
$114K |
| 71046 |
Radiologic examination, chest; 2 views |
543 |
526 |
$92K |
| 71045 |
Radiologic examination, chest; single view |
1,826 |
1,700 |
$92K |
| 83735 |
|
956 |
878 |
$85K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
692 |
641 |
$74K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
938 |
793 |
$71K |
| 80305 |
|
442 |
416 |
$70K |
| 81001 |
|
1,407 |
1,310 |
$61K |
| 85610 |
|
1,117 |
1,050 |
$56K |
| 85730 |
|
1,052 |
987 |
$54K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,081 |
997 |
$49K |
| G0378 |
Hospital observation service, per hour |
113 |
95 |
$42K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
203 |
195 |
$41K |
| 81003 |
|
453 |
429 |
$37K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
166 |
160 |
$35K |
| 84484 |
|
1,238 |
1,133 |
$35K |
| 87077 |
|
243 |
224 |
$27K |
| 83880 |
|
553 |
505 |
$27K |
| 87088 |
|
237 |
219 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,096 |
1,040 |
$24K |
| 87486 |
|
940 |
917 |
$23K |
| 87581 |
|
940 |
917 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
350 |
334 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
86 |
78 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,776 |
1,711 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
203 |
194 |
$13K |
| 82150 |
|
54 |
53 |
$12K |
| 83605 |
|
718 |
673 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,049 |
2,758 |
$11K |
| 84703 |
|
169 |
157 |
$11K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
55 |
51 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
174 |
161 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
30 |
28 |
$4K |
| 94799 |
|
208 |
181 |
$4K |
| 80047 |
|
16 |
16 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
63 |
51 |
$3K |
| 80076 |
|
15 |
15 |
$3K |
| 81002 |
|
140 |
102 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,158 |
1,053 |
$2K |
| 87634 |
|
56 |
50 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
24 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
233 |
218 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
46 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$769.62 |
| J3490 |
Unclassified drugs |
698 |
585 |
$630.33 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$607.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
85 |
$388.63 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$340.96 |
| 82607 |
|
12 |
12 |
$158.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$102.34 |
| 86140 |
|
43 |
43 |
$72.25 |
| A4215 |
Needle, sterile, any size, each |
558 |
515 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
14 |
$0.00 |