| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
524 |
496 |
$129K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
860 |
809 |
$118K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
186 |
173 |
$45K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$971.06 |
| 80053 |
Comprehensive metabolic panel |
289 |
267 |
$7.42 |
| 81003 |
|
269 |
242 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
28 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
76 |
69 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
59 |
56 |
$0.00 |
| 84703 |
|
131 |
117 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
56 |
49 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
46 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
24 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$0.00 |