| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
322 |
297 |
$151K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,022 |
988 |
$149K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
628 |
597 |
$144K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
477 |
435 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
984 |
883 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
622 |
555 |
$38K |
| 87428 |
|
913 |
878 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
157 |
143 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,483 |
3,006 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
419 |
397 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
419 |
397 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,641 |
2,211 |
$15K |
| 86850 |
|
195 |
188 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
632 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
57 |
28 |
$7K |
| 86703 |
|
401 |
378 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,693 |
3,753 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
530 |
492 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
293 |
280 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
106 |
105 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
53 |
$3K |
| 86780 |
|
193 |
187 |
$3K |
| 80305 |
|
223 |
209 |
$2K |
| 76801 |
|
16 |
12 |
$2K |
| 81001 |
|
1,339 |
1,213 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
46 |
$2K |
| 86803 |
|
67 |
66 |
$1K |
| 87150 |
|
27 |
25 |
$1K |
| 86592 |
|
189 |
179 |
$980.42 |
| 87280 |
|
106 |
103 |
$976.30 |
| 86317 |
|
54 |
53 |
$878.97 |
| 87340 |
|
77 |
76 |
$875.83 |
| 86762 |
|
50 |
50 |
$855.51 |
| 86787 |
|
57 |
56 |
$823.69 |
| 86901 |
|
230 |
218 |
$769.79 |
| 86900 |
|
229 |
217 |
$765.92 |
| 84439 |
|
99 |
89 |
$651.95 |
| 87400 |
|
112 |
61 |
$323.36 |
| 82950 |
|
49 |
43 |
$235.58 |
| 81025 |
|
28 |
27 |
$217.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
16 |
$39.93 |
| 83690 |
|
14 |
12 |
$20.72 |
| 82150 |
|
14 |
12 |
$19.48 |
| 80061 |
Lipid panel |
12 |
12 |
$7.08 |
| 83721 |
|
12 |
12 |
$0.00 |