| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,182 |
2,073 |
$341K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,156 |
4,973 |
$333K |
| 87428 |
|
2,120 |
1,874 |
$117K |
| 80053 |
Comprehensive metabolic panel |
2,768 |
2,455 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
1,225 |
1,174 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,925 |
2,539 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
641 |
553 |
$14K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
574 |
536 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
395 |
387 |
$11K |
| 81001 |
|
2,123 |
2,000 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
584 |
569 |
$9K |
| 81025 |
|
863 |
827 |
$8K |
| 87430 |
|
434 |
427 |
$5K |
| 87280 |
|
77 |
76 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
692 |
337 |
$4K |
| 87070 |
|
183 |
180 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
218 |
209 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
605 |
568 |
$3K |
| 84484 |
|
478 |
374 |
$2K |
| 83690 |
|
358 |
326 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
106 |
101 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
230 |
213 |
$595.60 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$521.10 |
| 36415 |
Collection of venous blood by venipuncture |
1,178 |
1,109 |
$411.12 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$391.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
67 |
$170.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$102.72 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
40 |
27 |
$97.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
186 |
162 |
$79.76 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
81 |
43 |
$54.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$46.58 |
| 82962 |
|
23 |
13 |
$0.00 |