| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
564 |
510 |
$252K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
197 |
191 |
$101K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
295 |
264 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
591 |
554 |
$26K |
| 87631 |
|
305 |
289 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,266 |
1,069 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,415 |
1,153 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
418 |
388 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
328 |
297 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
435 |
361 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
94 |
53 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
44 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
104 |
85 |
$3K |
| 84484 |
|
266 |
195 |
$2K |
| 81001 |
|
589 |
531 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
209 |
174 |
$660.68 |
| 83690 |
|
124 |
110 |
$468.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
13 |
$98.99 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
12 |
$74.25 |
| 83735 |
|
12 |
12 |
$33.89 |
| 36415 |
Collection of venous blood by venipuncture |
642 |
592 |
$16.27 |
| A9270 |
Non-covered item or service |
13 |
13 |
$0.00 |