| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,137 |
11,797 |
$1.56M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,124 |
1,026 |
$154K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,321 |
1,085 |
$117K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
942 |
848 |
$107K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
176 |
156 |
$52K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
162 |
160 |
$14K |
| 80047 |
|
1,099 |
966 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
40 |
38 |
$6K |
| 80053 |
Comprehensive metabolic panel |
124 |
100 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
68 |
66 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
390 |
342 |
$625.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,296 |
1,094 |
$329.04 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
480 |
415 |
$291.17 |
| J3490 |
Unclassified drugs |
3,105 |
1,979 |
$187.21 |
| 81025 |
|
60 |
55 |
$89.58 |
| 84702 |
|
80 |
52 |
$59.34 |
| 81003 |
|
693 |
644 |
$53.89 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
73 |
60 |
$12.12 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$10.91 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| 81002 |
|
223 |
121 |
$0.00 |
| 84460 |
|
13 |
13 |
$0.00 |
| 82247 |
|
13 |
13 |
$0.00 |
| 82977 |
|
13 |
13 |
$0.00 |
| 84155 |
|
13 |
13 |
$0.00 |
| 84450 |
|
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
222 |
138 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
25 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
31 |
$0.00 |
| 84075 |
|
13 |
13 |
$0.00 |
| 82040 |
|
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$0.00 |