| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,478 |
1,383 |
$602K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
840 |
809 |
$547K |
| 80053 |
Comprehensive metabolic panel |
599 |
551 |
$90K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
68 |
65 |
$79K |
| 71046 |
Radiologic examination, chest; 2 views |
371 |
362 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,049 |
934 |
$63K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
439 |
405 |
$52K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
266 |
258 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
282 |
277 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
303 |
297 |
$33K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
151 |
147 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$30K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
146 |
143 |
$22K |
| 81025 |
|
273 |
260 |
$15K |
| 81001 |
|
289 |
270 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
63 |
60 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
167 |
159 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
112 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
628 |
551 |
$9K |
| 83690 |
|
117 |
112 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
89 |
86 |
$7K |
| 94760 |
|
121 |
118 |
$6K |
| 81003 |
|
158 |
152 |
$5K |
| 84484 |
|
28 |
25 |
$3K |
| 80076 |
|
13 |
12 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
248 |
210 |
$649.80 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
311 |
292 |
$247.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
134 |
130 |
$211.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
101 |
97 |
$171.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
468 |
439 |
$164.10 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
15 |
12 |
$60.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
70 |
65 |
$48.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
74 |
70 |
$34.20 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
18 |
17 |
$32.40 |