| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,745 |
7,900 |
$1.11M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,062 |
984 |
$181K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
245 |
228 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
274 |
241 |
$32K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
13 |
$4K |
| 80053 |
Comprehensive metabolic panel |
76 |
60 |
$2K |
| J3490 |
Unclassified drugs |
4,266 |
2,781 |
$274.54 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
255 |
247 |
$206.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,083 |
980 |
$172.31 |
| 80051 |
|
882 |
813 |
$153.51 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
95 |
94 |
$96.88 |
| 82947 |
|
976 |
864 |
$55.22 |
| 82565 |
|
885 |
813 |
$53.83 |
| 84520 |
|
885 |
813 |
$37.30 |
| 81003 |
|
377 |
350 |
$22.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
82 |
71 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
37 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
167 |
130 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
84 |
77 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |