| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,917 |
2,251 |
$244K |
| A0425 |
Ground mileage, per statute mile |
689 |
478 |
$233K |
| 80053 |
Comprehensive metabolic panel |
3,293 |
2,832 |
$195K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,436 |
1,082 |
$170K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
954 |
643 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,572 |
3,061 |
$111K |
| 36415 |
Collection of venous blood by venipuncture |
4,840 |
3,975 |
$105K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,421 |
1,202 |
$94K |
| 85027 |
|
2,830 |
2,410 |
$77K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,045 |
977 |
$65K |
| 80061 |
Lipid panel |
1,153 |
1,090 |
$65K |
| 36000 |
|
1,040 |
862 |
$55K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
88 |
80 |
$52K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
610 |
541 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
700 |
609 |
$50K |
| 94761 |
|
916 |
732 |
$44K |
| 81015 |
|
1,212 |
1,052 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
605 |
515 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
795 |
618 |
$40K |
| 93041 |
|
799 |
668 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
105 |
90 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
730 |
606 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
777 |
734 |
$30K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
628 |
410 |
$29K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
584 |
484 |
$29K |
| 87088 |
|
824 |
727 |
$28K |
| 84484 |
|
526 |
393 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
453 |
378 |
$25K |
| 94760 |
|
364 |
321 |
$21K |
| 83690 |
|
444 |
379 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
169 |
110 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
153 |
144 |
$14K |
| 81003 |
|
624 |
565 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
314 |
275 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
301 |
264 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
424 |
352 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
222 |
141 |
$10K |
| 87070 |
|
372 |
306 |
$10K |
| 85610 |
|
216 |
179 |
$10K |
| 85730 |
|
198 |
159 |
$9K |
| 87077 |
|
499 |
384 |
$9K |
| 83605 |
|
136 |
102 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
203 |
166 |
$8K |
| 87186 |
|
354 |
291 |
$8K |
| 73630 |
|
96 |
65 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
69 |
13 |
$6K |
| J7050 |
Infusion, normal saline solution, 250 cc |
128 |
86 |
$6K |
| 86140 |
|
122 |
105 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
31 |
29 |
$5K |
| 85007 |
|
113 |
67 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
158 |
133 |
$4K |
| 73610 |
|
42 |
34 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
256 |
213 |
$2K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
37 |
25 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
67 |
50 |
$2K |
| 80305 |
|
29 |
24 |
$2K |
| 87040 |
|
26 |
12 |
$2K |
| 83735 |
|
60 |
51 |
$1K |
| 82248 |
|
34 |
28 |
$886.70 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
39 |
24 |
$835.36 |
| 82043 |
|
30 |
24 |
$723.63 |
| 84439 |
|
12 |
12 |
$619.05 |
| 81025 |
|
24 |
24 |
$556.48 |
| 86756 |
|
17 |
14 |
$507.16 |
| 87205 |
|
16 |
14 |
$211.17 |