| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,980 |
1,692 |
$594K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,224 |
1,999 |
$503K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
41 |
$74K |
| 71046 |
Radiologic examination, chest; 2 views |
734 |
691 |
$60K |
| 80053 |
Comprehensive metabolic panel |
4,225 |
3,684 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
964 |
829 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,788 |
4,142 |
$22K |
| 83880 |
|
963 |
882 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
469 |
390 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
71 |
56 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
319 |
286 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
383 |
308 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,940 |
4,258 |
$11K |
| 80061 |
Lipid panel |
967 |
876 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
627 |
566 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
185 |
144 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,111 |
1,000 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
713 |
666 |
$7K |
| 80050 |
General health panel |
167 |
160 |
$7K |
| 94760 |
|
570 |
405 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
422 |
373 |
$5K |
| 86710 |
|
535 |
470 |
$5K |
| 84439 |
|
628 |
578 |
$3K |
| 82248 |
|
1,022 |
938 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
73 |
57 |
$2K |
| 81001 |
|
988 |
833 |
$2K |
| 81000 |
|
593 |
559 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
12 |
$1K |
| 87420 |
|
87 |
70 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
76 |
67 |
$1K |
| 83735 |
|
186 |
174 |
$780.35 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
55 |
50 |
$701.80 |
| 86140 |
|
119 |
111 |
$412.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
46 |
39 |
$319.06 |
| 94761 |
|
32 |
31 |
$314.76 |
| 81025 |
|
40 |
37 |
$281.28 |
| 84100 |
|
69 |
64 |
$226.84 |
| 85379 |
|
24 |
22 |
$170.27 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
24 |
$149.97 |
| 80076 |
|
24 |
22 |
$120.31 |
| 82550 |
|
28 |
24 |
$110.67 |
| 84484 |
|
13 |
12 |
$99.76 |
| 82553 |
|
13 |
12 |
$92.40 |
| 86308 |
|
21 |
21 |
$76.28 |
| 81003 |
|
57 |
54 |
$60.75 |
| 85027 |
|
12 |
12 |
$57.44 |
| 82043 |
|
13 |
13 |
$46.24 |
| 82570 |
|
13 |
13 |
$41.44 |
| 85007 |
|
12 |
12 |
$27.28 |