| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,731 |
7,055 |
$869K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,169 |
6,747 |
$645K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,941 |
1,710 |
$164K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,715 |
1,336 |
$161K |
| 59025 |
Fetal non-stress test |
1,888 |
1,249 |
$159K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,105 |
1,987 |
$94K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
655 |
600 |
$52K |
| 92587 |
|
857 |
810 |
$37K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
187 |
177 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
357 |
314 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
48 |
42 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
51 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,410 |
2,161 |
$2K |
| 97597 |
|
43 |
25 |
$2K |
| 80053 |
Comprehensive metabolic panel |
5,089 |
4,533 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
845 |
762 |
$2K |
| 87081 |
|
348 |
333 |
$1K |
| 01999 |
|
59 |
51 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,602 |
4,947 |
$873.63 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
719 |
616 |
$779.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
846 |
770 |
$546.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
430 |
400 |
$500.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
903 |
804 |
$336.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
59 |
58 |
$328.59 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
752 |
674 |
$87.00 |
| 81001 |
|
1,301 |
1,174 |
$83.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
93 |
80 |
$66.77 |
| 71046 |
Radiologic examination, chest; 2 views |
142 |
135 |
$66.77 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
161 |
144 |
$45.61 |
| 84703 |
|
400 |
362 |
$40.61 |
| 82274 |
|
18 |
17 |
$37.68 |
| J7510 |
Prednisolone oral, per 5 mg |
26 |
26 |
$31.98 |
| 83690 |
|
264 |
230 |
$22.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
164 |
145 |
$6.23 |
| 81003 |
|
404 |
357 |
$5.20 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
139 |
134 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
12 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
32 |
27 |
$0.00 |
| 84484 |
|
102 |
63 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
30 |
13 |
$0.00 |
| 83735 |
|
29 |
27 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
19 |
14 |
$0.00 |
| 84702 |
|
14 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
123 |
106 |
$0.00 |