| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
804 |
720 |
$132K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
467 |
436 |
$115K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
679 |
653 |
$98K |
| X4011 |
State-specific procedure code |
267 |
243 |
$95K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
664 |
588 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,396 |
2,195 |
$22K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
172 |
169 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
280 |
269 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,743 |
1,588 |
$12K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
135 |
135 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
393 |
361 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
15 |
$10K |
| 83970 |
|
250 |
249 |
$8K |
| 83013 |
|
150 |
148 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
186 |
178 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
232 |
232 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
199 |
169 |
$4K |
| 82607 |
|
214 |
212 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
144 |
144 |
$2K |
| 82728 |
|
181 |
181 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
50 |
$2K |
| 84484 |
|
211 |
190 |
$2K |
| 80061 |
Lipid panel |
179 |
179 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
199 |
199 |
$2K |
| Y7507 |
|
14 |
12 |
$2K |
| 83550 |
|
191 |
191 |
$1K |
| 83690 |
|
261 |
247 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
50 |
42 |
$1K |
| 83540 |
|
191 |
191 |
$1K |
| 81025 |
|
125 |
119 |
$837.68 |
| 73564 |
|
24 |
16 |
$781.56 |
| 97161 |
|
12 |
12 |
$708.66 |
| 81001 |
|
312 |
294 |
$565.69 |
| 86140 |
|
45 |
44 |
$156.70 |
| 85652 |
|
44 |
43 |
$78.06 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12 |
12 |
$31.22 |
| 81003 |
|
30 |
29 |
$25.99 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12 |
12 |
$24.36 |
| 36415 |
Collection of venous blood by venipuncture |
543 |
445 |
$5.16 |
| J3490 |
Unclassified drugs |
27 |
26 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
29 |
27 |
$0.00 |