| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,385 |
3,050 |
$267K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,806 |
2,648 |
$212K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,725 |
2,620 |
$207K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
915 |
816 |
$75K |
| 80053 |
Comprehensive metabolic panel |
2,784 |
2,394 |
$57K |
| A9270 |
Non-covered item or service |
390 |
330 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,316 |
2,875 |
$24K |
| 94760 |
|
7,459 |
6,971 |
$17K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
155 |
134 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
74 |
64 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,918 |
1,659 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,322 |
1,142 |
$3K |
| 88342 |
|
31 |
24 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
220 |
205 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
41 |
39 |
$3K |
| 80061 |
Lipid panel |
273 |
260 |
$3K |
| 88142 |
|
161 |
156 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
81 |
77 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
12 |
$2K |
| 84484 |
|
230 |
163 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
81 |
77 |
$2K |
| 94761 |
|
2,139 |
1,974 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
978 |
753 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
434 |
398 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
71 |
69 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
99 |
96 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
54 |
$1K |
| 85027 |
|
87 |
84 |
$645.03 |
| J2704 |
Injection, propofol, 10 mg |
44 |
32 |
$636.68 |
| 82607 |
|
18 |
17 |
$304.76 |
| 81001 |
|
879 |
806 |
$250.13 |
| 83690 |
|
486 |
417 |
$177.13 |
| 88313 |
|
12 |
12 |
$144.27 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
609 |
534 |
$133.46 |
| 80076 |
|
13 |
13 |
$106.60 |
| 82553 |
|
21 |
19 |
$96.80 |
| 71045 |
Radiologic examination, chest; single view |
239 |
199 |
$86.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$23.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,105 |
1,015 |
$17.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
365 |
326 |
$16.52 |
| 81003 |
|
237 |
220 |
$16.52 |
| 81025 |
|
216 |
191 |
$10.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
50 |
$8.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
468 |
418 |
$7.91 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
266 |
226 |
$5.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
155 |
144 |
$1.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
64 |
61 |
$0.00 |
| 82550 |
|
26 |
19 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
87 |
62 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
20 |
15 |
$0.00 |