| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,420 |
8,183 |
$1.53M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,458 |
1,360 |
$389K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,103 |
2,806 |
$130K |
| CP007 |
|
5,061 |
613 |
$118K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
666 |
142 |
$83K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
778 |
763 |
$77K |
| CP008 |
|
1,923 |
195 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,043 |
962 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,398 |
3,975 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
753 |
711 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
667 |
$24K |
| 80053 |
Comprehensive metabolic panel |
3,802 |
3,399 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
901 |
515 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
916 |
753 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
406 |
369 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
59 |
57 |
$7K |
| 81001 |
|
2,538 |
2,365 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
135 |
130 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
198 |
99 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
273 |
239 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
991 |
683 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
333 |
327 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
67 |
65 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
865 |
806 |
$3K |
| 90682 |
|
55 |
53 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
45 |
38 |
$2K |
| 80061 |
Lipid panel |
933 |
923 |
$2K |
| 84484 |
|
442 |
300 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
40 |
38 |
$1K |
| 0011A |
|
121 |
119 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
132 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
739 |
727 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
734 |
580 |
$1K |
| 0012A |
|
101 |
101 |
$1K |
| 87147 |
|
129 |
128 |
$858.35 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$790.90 |
| 0071A |
|
14 |
14 |
$743.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
49 |
13 |
$723.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
659 |
652 |
$697.18 |
| 87070 |
|
70 |
69 |
$657.30 |
| 85027 |
|
809 |
743 |
$568.03 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$507.60 |
| 83735 |
|
464 |
382 |
$483.21 |
| 87420 |
|
27 |
27 |
$481.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
63 |
$400.93 |
| 86592 |
|
54 |
50 |
$336.41 |
| 87186 |
|
218 |
204 |
$307.70 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$284.63 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
88 |
82 |
$274.26 |
| 82947 |
|
357 |
175 |
$197.30 |
| 85610 |
|
235 |
198 |
$161.62 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
209 |
208 |
$121.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
178 |
135 |
$107.95 |
| 83880 |
|
28 |
26 |
$107.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$82.24 |
| 36415 |
Collection of venous blood by venipuncture |
6,382 |
5,396 |
$81.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
65 |
61 |
$79.14 |
| 84439 |
|
108 |
106 |
$70.41 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
24 |
24 |
$64.61 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
32 |
28 |
$64.04 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
231 |
175 |
$59.12 |
| 87088 |
|
71 |
70 |
$56.30 |
| J2704 |
Injection, propofol, 10 mg |
263 |
240 |
$51.37 |
| A9270 |
Non-covered item or service |
6,248 |
5,870 |
$49.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
173 |
139 |
$45.97 |
| 82607 |
|
84 |
84 |
$41.30 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
46 |
42 |
$33.76 |
| 83605 |
|
13 |
12 |
$15.85 |
| 88300 |
|
26 |
24 |
$0.00 |