| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,460 |
8,368 |
$1.86M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,919 |
7,928 |
$1.26M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,945 |
1,719 |
$296K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,134 |
5,329 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,045 |
931 |
$45K |
| 80053 |
Comprehensive metabolic panel |
4,290 |
3,726 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
27 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
625 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
390 |
336 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
344 |
283 |
$14K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
210 |
192 |
$12K |
| 92134 |
|
966 |
902 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
213 |
205 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
598 |
522 |
$4K |
| 92060 |
|
234 |
218 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
52 |
50 |
$4K |
| 81001 |
|
1,068 |
952 |
$4K |
| 81025 |
|
358 |
325 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
184 |
162 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
64 |
50 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
45 |
40 |
$2K |
| A9270 |
Non-covered item or service |
13,745 |
7,971 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
28 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
613 |
510 |
$2K |
| 83735 |
|
202 |
162 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
26 |
$1K |
| J3490 |
Unclassified drugs |
453 |
288 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
124 |
116 |
$1K |
| 83690 |
|
111 |
108 |
$931.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
27 |
$845.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
24 |
$236.56 |
| 84484 |
|
15 |
13 |
$221.97 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
134 |
124 |
$159.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$34.79 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
37 |
37 |
$29.94 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
47 |
40 |
$26.20 |
| 92201 |
|
21 |
17 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |