| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,961 |
1,873 |
$245K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,230 |
1,130 |
$125K |
| 87631 |
|
465 |
453 |
$40K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
203 |
195 |
$23K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
126 |
112 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
72 |
65 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
158 |
152 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$3K |
| G0378 |
Hospital observation service, per hour |
34 |
28 |
$469.28 |
| 80053 |
Comprehensive metabolic panel |
1,381 |
1,223 |
$127.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,427 |
1,139 |
$121.89 |
| 71045 |
Radiologic examination, chest; single view |
176 |
162 |
$109.03 |
| 83735 |
|
524 |
380 |
$60.55 |
| 87428 |
|
353 |
323 |
$46.60 |
| 80061 |
Lipid panel |
49 |
39 |
$42.58 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
350 |
314 |
$31.05 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
17 |
$9.85 |
| 84484 |
|
85 |
70 |
$6.52 |
| 36415 |
Collection of venous blood by venipuncture |
326 |
255 |
$5.49 |
| 81001 |
|
526 |
482 |
$4.82 |
| 87430 |
|
338 |
319 |
$0.00 |
| 83690 |
|
129 |
122 |
$0.00 |
| 87081 |
|
205 |
197 |
$0.00 |
| 85730 |
|
120 |
108 |
$0.00 |
| 86308 |
|
73 |
71 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
107 |
101 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
106 |
$0.00 |
| 82550 |
|
14 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
29 |
$0.00 |
| 94760 |
|
28 |
14 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
27 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
25 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
199 |
177 |
$0.00 |
| 85610 |
|
169 |
157 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
104 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
127 |
111 |
$0.00 |
| 81025 |
|
13 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |