| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,096 |
3,662 |
$700K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,320 |
1,093 |
$359K |
| A0425 |
Ground mileage, per statute mile |
2,395 |
1,558 |
$232K |
| 80053 |
Comprehensive metabolic panel |
2,069 |
1,785 |
$99K |
| A0999 |
Unlisted ambulance service |
205 |
119 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,891 |
1,650 |
$54K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
92 |
65 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
489 |
461 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
268 |
219 |
$19K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
98 |
58 |
$14K |
| 83690 |
|
336 |
298 |
$13K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
83 |
57 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
985 |
806 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
153 |
135 |
$7K |
| 83605 |
|
116 |
95 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
272 |
257 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
38 |
31 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
47 |
38 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
57 |
$3K |
| 87400 |
|
90 |
46 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$2K |
| 81001 |
|
135 |
119 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
181 |
166 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
13 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
18 |
$739.43 |
| 84484 |
|
16 |
12 |
$704.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$630.34 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12 |
12 |
$339.62 |
| 87634 |
|
12 |
12 |
$294.40 |