| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,709 |
7,791 |
$1.51M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,625 |
3,315 |
$638K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,613 |
2,348 |
$454K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
288 |
276 |
$66K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
115 |
104 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
124 |
119 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
116 |
107 |
$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 |
1,166 |
956 |
$18K |
| 80053 |
Comprehensive metabolic panel |
2,295 |
2,109 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,350 |
1,194 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
820 |
784 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,087 |
1,030 |
$2K |
| 85027 |
|
3,403 |
3,079 |
$2K |
| 84484 |
|
684 |
609 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,799 |
2,495 |
$762.98 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,075 |
1,007 |
$723.91 |
| 83690 |
|
1,100 |
1,030 |
$689.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,989 |
1,902 |
$529.83 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,140 |
1,972 |
$237.19 |
| 81001 |
|
1,797 |
1,634 |
$211.79 |
| 71045 |
Radiologic examination, chest; single view |
280 |
255 |
$178.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
194 |
151 |
$147.39 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
763 |
690 |
$122.51 |
| 81025 |
|
1,178 |
1,097 |
$110.51 |
| 87070 |
|
915 |
877 |
$85.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,249 |
1,113 |
$79.29 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,800 |
2,658 |
$65.44 |
| 80076 |
|
52 |
51 |
$60.61 |
| 83735 |
|
661 |
626 |
$51.22 |
| 81003 |
|
547 |
518 |
$39.19 |
| 87807 |
|
262 |
249 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
659 |
596 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
28 |
$0.00 |
| 84703 |
|
57 |
55 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
42 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
12 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
510 |
486 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
12 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
17 |
16 |
$0.00 |