| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,698 |
1,023 |
$240K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,401 |
3,861 |
$220K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,481 |
2,838 |
$87K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,934 |
3,617 |
$27K |
| 87428 |
|
712 |
542 |
$25K |
| 80053 |
Comprehensive metabolic panel |
3,169 |
2,339 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,492 |
805 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
379 |
342 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
578 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
487 |
404 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
663 |
491 |
$5K |
| 87081 |
|
365 |
345 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
42 |
38 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
115 |
$2K |
| 83735 |
|
582 |
492 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
32 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
58 |
54 |
$2K |
| 83880 |
|
96 |
63 |
$2K |
| 84484 |
|
229 |
170 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$1K |
| 81001 |
|
493 |
329 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
431 |
322 |
$386.87 |
| 81003 |
|
87 |
83 |
$183.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
15 |
$162.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$160.11 |
| 71045 |
Radiologic examination, chest; single view |
43 |
36 |
$142.48 |
| 87088 |
|
12 |
12 |
$83.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
12 |
$81.50 |
| 82962 |
|
192 |
99 |
$80.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
166 |
105 |
$69.36 |
| 81025 |
|
14 |
13 |
$58.44 |
| 80305 |
|
21 |
13 |
$52.35 |
| 83605 |
|
21 |
12 |
$44.84 |
| 82550 |
|
14 |
12 |
$38.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
37 |
$18.40 |
| 36415 |
Collection of venous blood by venipuncture |
1,679 |
1,144 |
$13.89 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
67 |
37 |
$9.18 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
231 |
165 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
241 |
144 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
310 |
228 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
993 |
731 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
121 |
61 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
66 |
57 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$0.00 |