| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
3,107 |
2,236 |
$105K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,101 |
2,283 |
$23K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,027 |
663 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
643 |
424 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,069 |
1,402 |
$9K |
| 83880 |
|
180 |
97 |
$7K |
| 81001 |
|
920 |
604 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
512 |
347 |
$6K |
| 84484 |
|
288 |
171 |
$5K |
| 85027 |
|
770 |
504 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
192 |
117 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
115 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
86 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
309 |
196 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
264 |
167 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
81 |
63 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
23 |
12 |
$660.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
71 |
43 |
$621.60 |
| 71045 |
Radiologic examination, chest; single view |
112 |
63 |
$566.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
73 |
$448.26 |
| 87420 |
|
46 |
39 |
$424.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
19 |
$268.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
38 |
$180.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
13 |
$142.08 |
| 80061 |
Lipid panel |
26 |
25 |
$132.02 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19 |
12 |
$46.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60 |
45 |
$0.00 |