| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,183 |
1,064 |
$205K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,472 |
1,241 |
$148K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
957 |
696 |
$134K |
| 80053 |
Comprehensive metabolic panel |
2,966 |
2,452 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
388 |
368 |
$28K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
615 |
204 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,194 |
2,682 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
852 |
827 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
65 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,578 |
2,812 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
12 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35 |
24 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
247 |
89 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
120 |
113 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
20 |
12 |
$1K |
| 80061 |
Lipid panel |
46 |
45 |
$917.04 |
| 84484 |
|
21 |
14 |
$853.47 |
| 83721 |
|
39 |
39 |
$740.55 |
| A0425 |
Ground mileage, per statute mile |
44 |
26 |
$737.98 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
156 |
123 |
$710.81 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$687.83 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$378.51 |
| 71045 |
Radiologic examination, chest; single view |
69 |
52 |
$299.52 |
| 87088 |
|
12 |
12 |
$245.08 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
13 |
$231.40 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
130 |
117 |
$90.72 |
| 87430 |
|
64 |
59 |
$89.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
30 |
$70.68 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
13 |
$42.12 |
| 81003 |
|
38 |
37 |
$32.45 |
| 83690 |
|
30 |
24 |
$12.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
41 |
38 |
$12.54 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
69 |
57 |
$0.00 |
| 83735 |
|
31 |
27 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
30 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$0.00 |
| 84703 |
|
13 |
12 |
$0.00 |