| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,532 |
3,917 |
$792K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,211 |
1,794 |
$477K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
774 |
615 |
$149K |
| 80053 |
Comprehensive metabolic panel |
2,120 |
1,811 |
$76K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
637 |
594 |
$61K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
381 |
356 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,257 |
1,887 |
$57K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
250 |
235 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
3,945 |
3,225 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
371 |
336 |
$32K |
| 87634 |
|
343 |
310 |
$32K |
| 93000 |
|
407 |
327 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
283 |
248 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
318 |
235 |
$24K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
222 |
183 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
405 |
388 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
332 |
319 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
233 |
193 |
$10K |
| 83605 |
|
144 |
118 |
$10K |
| 81001 |
|
763 |
671 |
$8K |
| 86140 |
|
368 |
298 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
105 |
79 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
383 |
225 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
73 |
$5K |
| 83690 |
|
151 |
125 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
368 |
316 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
98 |
$3K |
| 84484 |
|
113 |
93 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
85 |
$2K |
| 87260 |
|
43 |
41 |
$2K |
| 82550 |
|
63 |
54 |
$1K |
| 80306 |
|
43 |
38 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
30 |
$1K |
| 83735 |
|
53 |
41 |
$925.80 |
| 80061 |
Lipid panel |
12 |
12 |
$913.38 |
| 85610 |
|
82 |
67 |
$872.45 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$845.88 |
| 83880 |
|
20 |
14 |
$798.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
69 |
51 |
$778.90 |
| 81003 |
|
127 |
104 |
$663.74 |
| 85379 |
|
18 |
13 |
$591.61 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$571.79 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$525.79 |
| 82150 |
|
26 |
26 |
$476.46 |
| 84100 |
|
29 |
27 |
$313.66 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$298.45 |
| A9270 |
Non-covered item or service |
1,496 |
1,272 |
$200.25 |
| 87430 |
|
13 |
13 |
$127.89 |
| 85730 |
|
19 |
13 |
$106.92 |
| 11721 |
|
20 |
13 |
$92.60 |