| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
374 |
334 |
$54K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
267 |
245 |
$43K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
60 |
57 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
77 |
72 |
$869.21 |
| 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 |
27 |
27 |
$603.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
92 |
88 |
$598.14 |
| 80053 |
Comprehensive metabolic panel |
64 |
58 |
$346.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
75 |
68 |
$199.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
226 |
211 |
$131.18 |
| 71045 |
Radiologic examination, chest; single view |
34 |
31 |
$126.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
36 |
$93.27 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
70 |
66 |
$68.04 |
| 84484 |
|
33 |
29 |
$45.33 |
| 83735 |
|
26 |
26 |
$28.54 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
64 |
$22.92 |
| 81001 |
|
59 |
56 |
$12.42 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
41 |
$8.83 |
| 83605 |
|
15 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
17 |
17 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |