| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,694 |
5,590 |
$2.21M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,122 |
6,022 |
$1.63M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,880 |
2,828 |
$438K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,353 |
1,314 |
$255K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
427 |
421 |
$233K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
416 |
411 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
679 |
666 |
$55K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,148 |
1,115 |
$37K |
| 80053 |
Comprehensive metabolic panel |
5,132 |
5,023 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
83 |
83 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,466 |
5,348 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
476 |
457 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
266 |
252 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
201 |
191 |
$13K |
| 81001 |
|
1,727 |
1,690 |
$3K |
| 86900 |
|
30 |
30 |
$3K |
| 84702 |
|
463 |
459 |
$3K |
| 84484 |
|
270 |
248 |
$2K |
| 83690 |
|
524 |
513 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
550 |
545 |
$2K |
| 87430 |
|
80 |
80 |
$1K |
| 83735 |
|
269 |
263 |
$986.27 |
| 86850 |
|
14 |
14 |
$550.25 |
| 86901 |
|
14 |
14 |
$375.00 |
| 87081 |
|
43 |
43 |
$338.87 |
| 83605 |
|
24 |
24 |
$164.05 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
13 |
$140.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,098 |
1,057 |
$0.00 |
| J3490 |
Unclassified drugs |
126 |
120 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
199 |
178 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
749 |
504 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
884 |
702 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
588 |
550 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
82 |
74 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
434 |
327 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
218 |
187 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,765 |
2,498 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,329 |
1,975 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,385 |
1,321 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
383 |
359 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
191 |
177 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
507 |
392 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
44 |
31 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
20 |
14 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
13 |
12 |
$0.00 |