| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
284 |
272 |
$98K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
351 |
330 |
$61K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
321 |
295 |
$45K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
270 |
256 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
245 |
235 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
128 |
128 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
68 |
63 |
$6K |
| 82947 |
|
26 |
15 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$757.38 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
14 |
$301.59 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$135.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
78 |
53 |
$10.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
163 |
129 |
$4.88 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
47 |
46 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
54 |
43 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
13 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
564 |
448 |
$0.00 |
| 81001 |
|
26 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$0.00 |