| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,565 |
3,355 |
$620K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,483 |
1,415 |
$283K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
844 |
806 |
$76K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
173 |
169 |
$63K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
52 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
37 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
63 |
60 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
513 |
478 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
547 |
519 |
$546.12 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
772 |
735 |
$212.64 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
108 |
$82.10 |
| 87631 |
|
291 |
286 |
$61.07 |
| 80053 |
Comprehensive metabolic panel |
1,004 |
944 |
$44.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,122 |
1,071 |
$37.19 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
28 |
27 |
$36.26 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
286 |
277 |
$31.19 |
| 71045 |
Radiologic examination, chest; single view |
582 |
559 |
$27.65 |
| 71046 |
Radiologic examination, chest; 2 views |
182 |
179 |
$27.47 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
437 |
417 |
$18.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
847 |
810 |
$15.01 |
| 81025 |
|
544 |
525 |
$12.86 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
816 |
760 |
$12.42 |
| 81003 |
|
666 |
640 |
$10.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
108 |
$9.29 |
| 84484 |
|
81 |
80 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,223 |
1,165 |
$0.00 |
| J3490 |
Unclassified drugs |
40 |
40 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
43 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
64 |
$0.00 |
| 82553 |
|
41 |
40 |
$0.00 |
| 87428 |
|
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
217 |
210 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
258 |
254 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
105 |
102 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
207 |
201 |
$0.00 |