| Code | Description | Claims | Beneficiaries | Total Paid |
| X4011 |
State-specific procedure code |
7,588 |
4,401 |
$820K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,838 |
2,709 |
$544K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,141 |
1,038 |
$283K |
| Y7506 |
|
998 |
634 |
$119K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
287 |
262 |
$95K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,193 |
2,909 |
$71K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
617 |
607 |
$63K |
| 80053 |
Comprehensive metabolic panel |
3,068 |
2,874 |
$58K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
337 |
319 |
$46K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
460 |
458 |
$44K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
521 |
508 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
339 |
230 |
$35K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
430 |
409 |
$18K |
| 81001 |
|
1,069 |
1,005 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
53 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
109 |
103 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
131 |
127 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
30 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$892.21 |
| 83735 |
|
28 |
26 |
$136.14 |
| 87081 |
|
40 |
40 |
$107.43 |
| 83690 |
|
15 |
14 |
$91.15 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
16 |
$83.03 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$51.92 |
| 83605 |
|
13 |
13 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
63 |
$28.38 |