| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,524 |
1,312 |
$401K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
510 |
422 |
$108K |
| 80053 |
Comprehensive metabolic panel |
1,882 |
1,617 |
$34K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
148 |
138 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
194 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,160 |
3,401 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,041 |
2,568 |
$15K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
63 |
52 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
372 |
327 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
181 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
77 |
53 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
15 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
81 |
74 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
152 |
134 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$937.37 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
121 |
101 |
$190.88 |
| 85027 |
|
17 |
16 |
$176.29 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
199 |
160 |
$175.56 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
148 |
115 |
$97.13 |
| 84484 |
|
146 |
100 |
$90.55 |
| 81001 |
|
322 |
284 |
$46.26 |
| 83735 |
|
138 |
109 |
$39.19 |
| 83605 |
|
43 |
29 |
$21.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
75 |
58 |
$0.00 |
| 83690 |
|
13 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
13 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
66 |
$0.00 |