| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,833 |
3,242 |
$222K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,797 |
5,198 |
$215K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
808 |
693 |
$159K |
| 80053 |
Comprehensive metabolic panel |
5,454 |
4,686 |
$59K |
| D9420 |
|
198 |
186 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,436 |
4,670 |
$46K |
| 87081 |
|
1,884 |
1,699 |
$20K |
| 80061 |
Lipid panel |
1,155 |
1,068 |
$20K |
| 87631 |
|
320 |
309 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
850 |
406 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
276 |
249 |
$5K |
| 87430 |
|
357 |
316 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
202 |
192 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
68 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
63 |
56 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
475 |
399 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
262 |
204 |
$2K |
| 81003 |
|
865 |
774 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
13 |
$1K |
| 85027 |
|
279 |
247 |
$1K |
| 81001 |
|
246 |
210 |
$955.40 |
| 87070 |
|
72 |
59 |
$845.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
26 |
$801.84 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
48 |
29 |
$775.62 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
76 |
65 |
$717.20 |
| 83690 |
|
108 |
91 |
$680.91 |
| 84484 |
|
99 |
82 |
$631.08 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22 |
12 |
$576.00 |
| 81025 |
|
146 |
118 |
$380.93 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
151 |
119 |
$323.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
27 |
$306.31 |
| 86803 |
|
14 |
13 |
$298.44 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
205 |
173 |
$288.00 |
| 83540 |
|
27 |
25 |
$224.40 |
| 87040 |
|
16 |
12 |
$200.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$192.48 |
| 83550 |
|
12 |
12 |
$186.48 |
| 85610 |
|
61 |
51 |
$186.05 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
267 |
188 |
$124.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
664 |
540 |
$104.15 |
| 86140 |
|
59 |
51 |
$98.12 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
13 |
$97.84 |
| 83735 |
|
18 |
15 |
$69.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
164 |
137 |
$61.58 |
| 84100 |
|
17 |
14 |
$37.60 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
126 |
84 |
$26.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
98 |
75 |
$8.42 |
| 36415 |
Collection of venous blood by venipuncture |
927 |
761 |
$7.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$3.78 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
532 |
511 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
598 |
294 |
$0.00 |
| 36592 |
|
220 |
196 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
547 |
496 |
$0.00 |
| 0240U |
|
192 |
166 |
$0.00 |
| J3490 |
Unclassified drugs |
15 |
13 |
$0.00 |