| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
3,930 |
3,423 |
$1.22M |
| X4003 |
|
1,160 |
647 |
$145K |
| X4006 |
|
92 |
65 |
$60K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
328 |
280 |
$33K |
| 80053 |
Comprehensive metabolic panel |
3,118 |
2,620 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
443 |
387 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,176 |
3,294 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
475 |
457 |
$11K |
| J3490 |
Unclassified drugs |
741 |
485 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
119 |
93 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
245 |
220 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
94 |
89 |
$912.32 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
28 |
$811.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
39 |
$486.88 |
| 82728 |
|
109 |
100 |
$406.73 |
| 84484 |
|
78 |
68 |
$309.07 |
| 80061 |
Lipid panel |
25 |
25 |
$260.08 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
210 |
$249.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
31 |
$238.08 |
| 81001 |
|
160 |
136 |
$208.08 |
| 83880 |
|
15 |
12 |
$134.08 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$110.07 |
| 85027 |
|
25 |
25 |
$95.80 |
| 83735 |
|
14 |
13 |
$39.66 |
| 81003 |
|
65 |
49 |
$29.26 |
| 85610 |
|
16 |
13 |
$19.40 |
| 83605 |
|
19 |
15 |
$18.98 |
| A9270 |
Non-covered item or service |
62 |
41 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$0.00 |