| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,851 |
2,718 |
$779K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,237 |
4,147 |
$541K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
243 |
233 |
$53K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
396 |
389 |
$49K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
53 |
52 |
$39K |
| 71045 |
Radiologic examination, chest; single view |
568 |
552 |
$37K |
| 87428 |
|
482 |
480 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
585 |
569 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
760 |
745 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,563 |
1,445 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,813 |
1,669 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
502 |
247 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
161 |
154 |
$3K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
248 |
244 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$2K |
| 81001 |
|
792 |
739 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
26 |
26 |
$1K |
| 87430 |
|
104 |
104 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$1K |
| CP007 |
|
35 |
30 |
$837.73 |
| 83655 |
|
41 |
41 |
$775.07 |
| 87807 |
|
52 |
51 |
$755.03 |
| 87081 |
|
80 |
80 |
$344.22 |
| 83880 |
|
40 |
39 |
$263.83 |
| 82728 |
|
12 |
12 |
$253.93 |
| 84484 |
|
98 |
84 |
$253.08 |
| 83550 |
|
12 |
12 |
$162.80 |
| 85014 |
|
41 |
41 |
$154.60 |
| 85018 |
|
41 |
41 |
$151.86 |
| 83735 |
|
29 |
29 |
$151.79 |
| 83690 |
|
26 |
24 |
$142.19 |
| 83540 |
|
12 |
12 |
$120.46 |
| 36415 |
Collection of venous blood by venipuncture |
2,459 |
2,137 |
$46.41 |
| 80061 |
Lipid panel |
31 |
31 |
$23.64 |
| 85610 |
|
27 |
26 |
$16.48 |
| 85730 |
|
15 |
14 |
$11.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$11.07 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$7.80 |
| 87077 |
|
12 |
12 |
$7.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
29 |
$0.51 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
46 |
42 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
16 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
44 |
26 |
$0.00 |