| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,581 |
4,281 |
$552K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,338 |
1,813 |
$275K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
965 |
767 |
$87K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
640 |
504 |
$71K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
391 |
316 |
$29K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,446 |
1,112 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,029 |
781 |
$22K |
| 80053 |
Comprehensive metabolic panel |
1,799 |
1,415 |
$18K |
| 87430 |
|
741 |
594 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
526 |
430 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
189 |
156 |
$8K |
| 87070 |
|
637 |
506 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
599 |
469 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
605 |
488 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
806 |
632 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
606 |
468 |
$5K |
| 81025 |
|
641 |
516 |
$4K |
| 81001 |
|
1,444 |
1,121 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
410 |
329 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
249 |
185 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
12 |
$2K |
| 84702 |
|
123 |
88 |
$2K |
| 93975 |
|
90 |
74 |
$2K |
| 85027 |
|
2,334 |
1,820 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,187 |
936 |
$1K |
| 83880 |
|
120 |
97 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,031 |
430 |
$1K |
| 83690 |
|
998 |
789 |
$942.42 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
249 |
185 |
$861.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
43 |
$788.20 |
| 73610 |
|
55 |
38 |
$696.60 |
| 87210 |
|
38 |
27 |
$561.64 |
| 84703 |
|
729 |
594 |
$555.53 |
| 84484 |
|
153 |
146 |
$550.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,243 |
955 |
$536.61 |
| 80076 |
|
241 |
194 |
$239.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,909 |
1,034 |
$195.78 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
221 |
170 |
$162.97 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
48 |
38 |
$95.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
444 |
333 |
$60.16 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
700 |
549 |
$43.14 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
180 |
137 |
$33.77 |
| 83735 |
|
20 |
12 |
$31.99 |
| 87077 |
|
16 |
12 |
$27.60 |
| 81003 |
|
113 |
98 |
$27.54 |
| 87088 |
|
21 |
13 |
$22.12 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
30 |
30 |
$21.38 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
42 |
31 |
$19.19 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
85 |
59 |
$17.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
502 |
411 |
$12.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$7.52 |
| 85610 |
|
26 |
26 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
28 |
26 |
$0.00 |
| 73630 |
|
17 |
15 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
127 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
124 |
102 |
$0.00 |
| 85730 |
|
12 |
12 |
$0.00 |