| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
1,053 |
874 |
$149K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,492 |
1,220 |
$136K |
| 80053 |
Comprehensive metabolic panel |
892 |
764 |
$63K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
342 |
257 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
968 |
797 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,237 |
1,040 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
250 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
334 |
255 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
502 |
474 |
$12K |
| 86140 |
|
745 |
638 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
45 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
14 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
201 |
$3K |
| 93000 |
|
133 |
108 |
$2K |
| 90686 |
|
205 |
201 |
$2K |
| 0011A |
|
42 |
42 |
$1K |
| 0012A |
|
33 |
32 |
$1K |
| 83735 |
|
64 |
52 |
$780.91 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
16 |
$609.72 |
| 81003 |
|
45 |
41 |
$606.48 |
| J2704 |
Injection, propofol, 10 mg |
14 |
13 |
$521.54 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
13 |
$510.36 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
25 |
$435.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
26 |
$392.07 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
13 |
$363.98 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$346.38 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18 |
12 |
$323.34 |
| 84484 |
|
18 |
12 |
$303.25 |
| 83605 |
|
93 |
71 |
$224.35 |
| 85380 |
|
12 |
12 |
$202.89 |
| 90656 |
|
12 |
12 |
$76.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
16 |
$57.00 |
| 91301 |
|
92 |
86 |
$0.00 |