| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,880 |
1,354 |
$218K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,172 |
975 |
$207K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,312 |
4,185 |
$128K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,238 |
922 |
$119K |
| 80053 |
Comprehensive metabolic panel |
1,934 |
1,416 |
$88K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
509 |
363 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,473 |
2,007 |
$74K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,884 |
477 |
$68K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
852 |
747 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,094 |
1,010 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,241 |
1,084 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
367 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,280 |
1,246 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
434 |
409 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
2,627 |
2,016 |
$23K |
| 87428 |
|
755 |
709 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
266 |
260 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
654 |
484 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
258 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
387 |
282 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
547 |
524 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
110 |
97 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
587 |
574 |
$7K |
| 81001 |
|
411 |
363 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
154 |
90 |
$6K |
| 80061 |
Lipid panel |
219 |
212 |
$5K |
| 84484 |
|
91 |
62 |
$4K |
| 81002 |
|
366 |
338 |
$3K |
| 87807 |
|
109 |
104 |
$3K |
| J3490 |
Unclassified drugs |
105 |
37 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,194 |
225 |
$2K |
| 82553 |
|
47 |
37 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$1K |
| 83874 |
|
47 |
37 |
$1K |
| 97161 |
|
15 |
13 |
$807.80 |
| 80305 |
|
13 |
12 |
$732.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
25 |
$590.40 |
| 81000 |
|
66 |
63 |
$444.18 |
| 83605 |
|
13 |
13 |
$345.80 |
| 85610 |
|
17 |
16 |
$240.51 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
118 |
53 |
$126.36 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
37 |
25 |
$0.00 |