| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,052 |
7,632 |
$1.31M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,360 |
3,219 |
$757K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
686 |
656 |
$234K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,960 |
1,878 |
$187K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
247 |
238 |
$160K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
135 |
131 |
$73K |
| 70450 |
Computed tomography, head or brain; without contrast material |
147 |
143 |
$33K |
| 10060 |
|
13 |
13 |
$3K |
| J3490 |
Unclassified drugs |
369 |
355 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
25 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,261 |
1,202 |
$452.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
755 |
722 |
$306.56 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
280 |
266 |
$153.93 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
298 |
288 |
$153.28 |
| 71045 |
Radiologic examination, chest; single view |
788 |
764 |
$82.38 |
| 87631 |
|
522 |
514 |
$61.07 |
| 80053 |
Comprehensive metabolic panel |
1,996 |
1,879 |
$58.48 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
813 |
761 |
$48.08 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,243 |
1,167 |
$44.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,024 |
1,919 |
$42.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
652 |
619 |
$25.99 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
125 |
118 |
$18.13 |
| 81003 |
|
1,364 |
1,314 |
$8.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
70 |
68 |
$7.08 |
| 81025 |
|
931 |
905 |
$5.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,172 |
1,117 |
$4.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
680 |
646 |
$4.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
355 |
343 |
$0.00 |
| 73630 |
|
24 |
24 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
114 |
100 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
366 |
346 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
70 |
66 |
$0.00 |
| 84520 |
|
28 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
25 |
$0.00 |
| 73610 |
|
26 |
25 |
$0.00 |
| 82947 |
|
26 |
26 |
$0.00 |
| 82565 |
|
28 |
26 |
$0.00 |
| 73130 |
|
29 |
29 |
$0.00 |
| 84702 |
|
15 |
12 |
$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 |
52 |
51 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
27 |
26 |
$0.00 |
| 74018 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,251 |
2,136 |
$0.00 |
| 84484 |
|
357 |
343 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
634 |
619 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
544 |
532 |
$0.00 |
| 80051 |
|
31 |
31 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
67 |
66 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
277 |
219 |
$0.00 |
| 82553 |
|
149 |
139 |
$0.00 |
| 87428 |
|
54 |
54 |
$0.00 |
| 82550 |
|
31 |
31 |
$0.00 |
| 85379 |
|
12 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
29 |
28 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
25 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$0.00 |