| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
10,812 |
10,205 |
$3.02M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,002 |
6,749 |
$1.16M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,592 |
15,817 |
$988K |
| 80053 |
Comprehensive metabolic panel |
15,802 |
14,504 |
$874K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,771 |
3,480 |
$685K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,534 |
4,973 |
$353K |
| X4006 |
|
495 |
413 |
$249K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,386 |
2,174 |
$242K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,152 |
2,869 |
$176K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
189 |
$127K |
| 71046 |
Radiologic examination, chest; 2 views |
1,541 |
1,437 |
$123K |
| 81001 |
|
699 |
670 |
$97K |
| X4003 |
|
1,065 |
862 |
$92K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
333 |
304 |
$88K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,684 |
1,650 |
$83K |
| 81025 |
|
281 |
273 |
$62K |
| 83735 |
|
607 |
557 |
$60K |
| 81003 |
|
195 |
173 |
$47K |
| G0378 |
Hospital observation service, per hour |
173 |
145 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
529 |
497 |
$43K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
390 |
374 |
$43K |
| 81002 |
|
55 |
41 |
$29K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
768 |
669 |
$25K |
| 84484 |
|
1,499 |
1,064 |
$23K |
| J3490 |
Unclassified drugs |
457 |
326 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
78 |
74 |
$11K |
| 83690 |
|
246 |
237 |
$11K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
629 |
602 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
81 |
69 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
154 |
$8K |
| 87807 |
|
24 |
24 |
$8K |
| 59025 |
Fetal non-stress test |
14 |
13 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
134 |
125 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
29 |
29 |
$5K |
| 62323 |
|
17 |
14 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
88 |
76 |
$4K |
| 85610 |
|
83 |
74 |
$3K |
| 85730 |
|
29 |
26 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$3K |
| 20610 |
|
32 |
25 |
$3K |
| 76818 |
|
62 |
38 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
87 |
72 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$2K |
| 94060 |
|
13 |
13 |
$2K |
| 0240U |
|
47 |
46 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
12 |
$2K |
| 94726 |
|
12 |
12 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
46 |
41 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
63 |
40 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$666.05 |
| 87081 |
|
44 |
43 |
$196.46 |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$132.57 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
23 |
13 |
$128.82 |
| 86140 |
|
29 |
25 |
$55.92 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
17 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
13 |
$0.00 |