| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
402 |
321 |
$72K |
| 80053 |
Comprehensive metabolic panel |
1,265 |
824 |
$42K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
225 |
186 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
216 |
148 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,017 |
1,889 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
106 |
64 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
193 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
342 |
270 |
$6K |
| 97535 |
Self-care/home management training, each 15 minutes |
55 |
13 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,192 |
716 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
81 |
26 |
$3K |
| 0001A |
|
79 |
73 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
759 |
548 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
425 |
313 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
12 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
109 |
39 |
$961.02 |
| 0012A |
|
39 |
35 |
$945.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
25 |
$798.75 |
| 0031A |
|
24 |
23 |
$630.00 |
| 0002A |
|
22 |
21 |
$630.00 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
26 |
$470.92 |
| 0011A |
|
22 |
20 |
$315.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$275.23 |
| 82378 |
|
25 |
24 |
$155.49 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
125 |
57 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
25 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$0.00 |