| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,892 |
2,712 |
$569K |
| A0425 |
Ground mileage, per statute mile |
7,058 |
4,345 |
$438K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,976 |
2,439 |
$197K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
899 |
805 |
$193K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
209 |
196 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,502 |
4,743 |
$15K |
| 80053 |
Comprehensive metabolic panel |
5,319 |
4,625 |
$15K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
176 |
135 |
$10K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
271 |
108 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
75 |
71 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
39 |
31 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
13 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,583 |
3,512 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,329 |
1,251 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
255 |
234 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
77 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
119 |
106 |
$1K |
| 80061 |
Lipid panel |
839 |
783 |
$1K |
| 81001 |
|
1,325 |
1,173 |
$824.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
515 |
482 |
$761.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
245 |
229 |
$608.49 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
88 |
78 |
$537.77 |
| A0380 |
Bls mileage (per mile) |
17 |
12 |
$441.32 |
| 87430 |
|
57 |
51 |
$280.94 |
| 82607 |
|
191 |
184 |
$279.48 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
63 |
51 |
$137.44 |
| 87081 |
|
42 |
37 |
$130.08 |
| 71045 |
Radiologic examination, chest; single view |
27 |
24 |
$119.57 |
| 83735 |
|
101 |
92 |
$88.24 |
| 84484 |
|
13 |
12 |
$55.57 |
| 83690 |
|
12 |
12 |
$51.90 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$39.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
67 |
52 |
$23.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
13 |
$20.00 |
| 85027 |
|
13 |
12 |
$17.84 |
| 81003 |
|
12 |
12 |
$4.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |