| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,035 |
3,783 |
$314K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,851 |
6,487 |
$290K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,630 |
4,028 |
$156K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
684 |
657 |
$30K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
846 |
753 |
$29K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
40 |
39 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,027 |
938 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
655 |
629 |
$8K |
| 81001 |
|
1,301 |
1,210 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
207 |
$4K |
| 80053 |
Comprehensive metabolic panel |
209 |
195 |
$3K |
| 81003 |
|
669 |
611 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
118 |
112 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
491 |
471 |
$772.61 |
| 81025 |
|
93 |
87 |
$347.42 |
| 87081 |
|
31 |
28 |
$272.97 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$231.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
193 |
182 |
$127.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
58 |
$100.47 |
| 83690 |
|
14 |
12 |
$96.03 |
| 71045 |
Radiologic examination, chest; single view |
17 |
15 |
$66.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,557 |
1,454 |
$43.55 |
| J2704 |
Injection, propofol, 10 mg |
74 |
37 |
$9.40 |
| 36415 |
Collection of venous blood by venipuncture |
891 |
799 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
60 |
56 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
14 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
51 |
37 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
75 |
71 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
26 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
12 |
12 |
$0.00 |