| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
393 |
352 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
518 |
471 |
$64K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
83 |
76 |
$19K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
46 |
42 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
225 |
202 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
65 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
33 |
31 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
30 |
$0.00 |
| 81003 |
|
77 |
73 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
15 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$0.00 |