| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,822 |
11,273 |
$1.06M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,366 |
3,312 |
$325K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,428 |
3,743 |
$322K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,198 |
964 |
$132K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
318 |
240 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,865 |
1,587 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
959 |
$38K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
225 |
104 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
156 |
133 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
749 |
619 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,201 |
700 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,393 |
2,029 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
104 |
77 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,716 |
1,336 |
$13K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
393 |
293 |
$12K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
88 |
76 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
111 |
65 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
622 |
568 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,468 |
1,179 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
25 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
57 |
49 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,309 |
1,087 |
$3K |
| 81025 |
|
617 |
513 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
77 |
$2K |
| 81001 |
|
853 |
671 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
398 |
304 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$670.00 |
| 87807 |
|
15 |
13 |
$642.68 |
| 85027 |
|
122 |
97 |
$542.72 |
| 85007 |
|
73 |
52 |
$467.72 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
78 |
69 |
$278.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
739 |
612 |
$267.89 |
| 99406 |
|
27 |
27 |
$117.43 |
| 71045 |
Radiologic examination, chest; single view |
29 |
24 |
$113.77 |
| 87428 |
|
301 |
289 |
$83.17 |
| 73630 |
|
15 |
13 |
$78.59 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
393 |
368 |
$49.74 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
258 |
207 |
$27.41 |
| 81003 |
|
150 |
136 |
$6.22 |
| S1015 |
Iv tubing extension set |
288 |
221 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
14 |
$0.00 |
| 82553 |
|
28 |
24 |
$0.00 |
| 83690 |
|
43 |
41 |
$0.00 |
| 84484 |
|
77 |
67 |
$0.00 |
| 83874 |
|
28 |
24 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
15 |
$0.00 |