| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,152 |
2,596 |
$225K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,475 |
3,641 |
$218K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,359 |
1,195 |
$87K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
872 |
724 |
$77K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,418 |
2,843 |
$73K |
| J3490 |
Unclassified drugs |
1,595 |
990 |
$56K |
| A9270 |
Non-covered item or service |
1,138 |
172 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,701 |
158 |
$20K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
89 |
$9K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
54 |
49 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
78 |
26 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
306 |
266 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
114 |
106 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
44 |
13 |
$717.00 |
| 80053 |
Comprehensive metabolic panel |
64 |
58 |
$606.56 |
| G0008 |
Administration of influenza virus vaccine |
89 |
15 |
$254.13 |
| 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 |
123 |
101 |
$179.71 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
31 |
24 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
24 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
32 |
24 |
$0.00 |