| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
195 |
61 |
$53K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
289 |
88 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,155 |
1,722 |
$19K |
| 99464 |
|
374 |
342 |
$16K |
| 99215 |
Prolong outpt/office vis |
262 |
155 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
406 |
262 |
$15K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
199 |
61 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
364 |
92 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
73 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
73 |
26 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
554 |
361 |
$2K |
| 80053 |
Comprehensive metabolic panel |
302 |
190 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
73 |
26 |
$814.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
413 |
269 |
$807.83 |
| 70450 |
Computed tomography, head or brain; without contrast material |
22 |
12 |
$780.95 |
| 74018 |
|
101 |
63 |
$561.50 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
49 |
31 |
$503.20 |
| 93970 |
|
25 |
14 |
$434.46 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
849 |
228 |
$338.40 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
43 |
38 |
$293.37 |
| 83735 |
|
729 |
171 |
$261.30 |
| 36415 |
Collection of venous blood by venipuncture |
118 |
81 |
$179.97 |
| 84100 |
|
697 |
167 |
$170.64 |
| 85027 |
|
816 |
237 |
$148.81 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
87 |
28 |
$85.29 |
| 80076 |
|
166 |
72 |
$73.53 |
| 86850 |
|
115 |
78 |
$68.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$59.92 |
| 85730 |
|
418 |
106 |
$48.08 |
| 85610 |
|
302 |
107 |
$34.32 |
| 86901 |
|
141 |
78 |
$26.91 |
| 86900 |
|
143 |
78 |
$26.91 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
39 |
12 |
$23.17 |
| 85007 |
|
67 |
32 |
$19.00 |
| 83605 |
|
41 |
18 |
$11.57 |
| 87081 |
|
48 |
46 |
$6.63 |
| 86140 |
|
42 |
24 |
$5.18 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
42 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
14 |
$0.00 |
| 87040 |
|
26 |
15 |
$0.00 |
| 87493 |
|
14 |
12 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
12 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
32 |
26 |
$0.00 |