| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,685 |
13,609 |
$2.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,639 |
3,618 |
$1.04M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
897 |
892 |
$358K |
| 87428 |
|
3,241 |
3,224 |
$113K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
717 |
713 |
$77K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
470 |
465 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,567 |
1,555 |
$22K |
| 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 |
286 |
277 |
$20K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
295 |
283 |
$15K |
| 81003 |
|
2,323 |
2,306 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,626 |
1,608 |
$11K |
| 81025 |
|
903 |
894 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
109 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
195 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
394 |
392 |
$6K |
| 80051 |
|
893 |
880 |
$5K |
| 82550 |
|
895 |
882 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
111 |
$5K |
| 82565 |
|
893 |
880 |
$4K |
| 82947 |
|
1,063 |
1,031 |
$4K |
| 87420 |
|
286 |
285 |
$4K |
| 84520 |
|
877 |
865 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$3K |
| 82977 |
|
420 |
414 |
$3K |
| 82150 |
|
421 |
415 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
108 |
$2K |
| 84460 |
|
398 |
394 |
$2K |
| 84075 |
|
398 |
394 |
$2K |
| 84450 |
|
398 |
394 |
$2K |
| 82247 |
|
399 |
395 |
$2K |
| 82040 |
|
399 |
395 |
$2K |
| 84155 |
|
399 |
395 |
$1K |
| 80053 |
Comprehensive metabolic panel |
123 |
120 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
174 |
170 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
25 |
24 |
$914.33 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
129 |
129 |
$868.78 |
| 87400 |
|
33 |
33 |
$829.62 |
| 87088 |
|
74 |
74 |
$525.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
30 |
$226.80 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22 |
22 |
$153.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
369 |
345 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
28 |
28 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
41 |
41 |
$0.00 |