| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
12,109 |
10,176 |
$173K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,090 |
947 |
$134K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,796 |
3,223 |
$133K |
| 80053 |
Comprehensive metabolic panel |
2,161 |
1,884 |
$128K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
174 |
144 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
347 |
329 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
243 |
209 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
163 |
156 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
152 |
126 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
82 |
63 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
45 |
45 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
426 |
403 |
$3K |
| 81001 |
|
76 |
72 |
$2K |
| 87631 |
|
30 |
29 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
61 |
52 |
$2K |
| 80061 |
Lipid panel |
55 |
53 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
54 |
51 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$1K |
| 87806 |
|
12 |
12 |
$927.61 |
| 86780 |
|
12 |
12 |
$829.44 |
| 86140 |
|
32 |
27 |
$824.91 |
| 81003 |
|
30 |
24 |
$793.45 |
| 81025 |
|
27 |
26 |
$782.14 |
| 86850 |
|
12 |
12 |
$364.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$357.39 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
31 |
16 |
$351.86 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
34 |
16 |
$325.25 |
| 87340 |
|
12 |
12 |
$310.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$301.33 |
| 86762 |
|
12 |
12 |
$256.25 |
| 86901 |
|
12 |
12 |
$192.20 |
| 86900 |
|
12 |
12 |
$192.20 |
| A9270 |
Non-covered item or service |
37 |
24 |
$0.00 |