| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,116 |
1,032 |
$401K |
| 99199 |
Unlisted special service, procedure or report |
957 |
876 |
$196K |
| 0450 |
Emergency room services |
1,804 |
1,685 |
$85K |
| 80053 |
Comprehensive metabolic panel |
1,002 |
956 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,124 |
1,069 |
$26K |
| 0250 |
|
92 |
84 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
194 |
185 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
191 |
188 |
$12K |
| 81001 |
|
937 |
907 |
$12K |
| 92552 |
|
1,297 |
1,296 |
$10K |
| 83690 |
|
168 |
164 |
$7K |
| 81025 |
|
525 |
505 |
$6K |
| J3490 |
Unclassified drugs |
1,164 |
871 |
$5K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
56 |
20 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
188 |
183 |
$3K |
| 84484 |
|
40 |
39 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
54 |
51 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
51 |
34 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
41 |
41 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$852.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
27 |
$518.12 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$352.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$327.73 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$110.00 |
| 87400 |
|
16 |
12 |
$46.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
607 |
607 |
$39.00 |
| 0270 |
|
564 |
360 |
$35.55 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,018 |
1,890 |
$0.00 |
| 97802 |
|
1,436 |
1,435 |
$0.00 |
| 85018 |
|
2,238 |
2,235 |
$0.00 |
| 0001A |
|
57 |
57 |
$0.00 |
| 0305 |
|
33 |
31 |
$0.00 |
| 90686 |
|
77 |
77 |
$0.00 |
| 94760 |
|
49 |
48 |
$0.00 |
| 0306 |
|
15 |
14 |
$0.00 |
| 0258 |
|
12 |
12 |
$0.00 |
| 0301 |
|
19 |
18 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,050 |
1,970 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
977 |
941 |
$0.00 |
| 99173 |
|
1,195 |
1,195 |
$0.00 |
| G9920 |
Screening performed and negative |
1,480 |
1,480 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
313 |
$0.00 |
| 0300 |
|
35 |
32 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
573 |
572 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
206 |
205 |
$0.00 |
| 0002A |
|
38 |
38 |
$0.00 |
| 1159F |
|
71 |
71 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |