| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,774 |
1,727 |
$182K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
841 |
806 |
$118K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
22 |
12 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
169 |
157 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
76 |
64 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$5K |
| 92567 |
|
167 |
152 |
$5K |
| 80053 |
Comprehensive metabolic panel |
302 |
250 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
320 |
304 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
18 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,659 |
1,490 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
77 |
64 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,149 |
1,024 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
94 |
30 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
24 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
167 |
142 |
$735.58 |
| 86780 |
|
12 |
12 |
$398.32 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
134 |
123 |
$365.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$348.33 |
| 80061 |
Lipid panel |
24 |
24 |
$303.48 |
| 84484 |
|
29 |
27 |
$291.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$252.49 |
| 87340 |
|
12 |
12 |
$169.43 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$156.20 |
| 85027 |
|
12 |
12 |
$120.34 |
| 85610 |
|
138 |
61 |
$50.75 |
| 81003 |
|
232 |
216 |
$15.42 |
| V5266 |
Battery for use in hearing device |
48 |
38 |
$5.82 |
| 81001 |
|
36 |
34 |
$5.35 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
14 |
$0.00 |
| 81025 |
|
44 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 83690 |
|
13 |
13 |
$0.00 |