| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
363 |
330 |
$40K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
290 |
266 |
$36K |
| G0378 |
Hospital observation service, per hour |
47 |
29 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
183 |
167 |
$7K |
| A9270 |
Non-covered item or service |
501 |
311 |
$448.45 |
| 70450 |
Computed tomography, head or brain; without contrast material |
73 |
66 |
$46.49 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
623 |
474 |
$40.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
89 |
82 |
$39.40 |
| 71046 |
Radiologic examination, chest; 2 views |
62 |
54 |
$27.11 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
404 |
344 |
$19.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
636 |
517 |
$12.54 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
29 |
$2.42 |
| 85610 |
|
96 |
87 |
$1.88 |
| 80076 |
|
113 |
106 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
32 |
24 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
44 |
42 |
$0.00 |
| 81003 |
|
45 |
41 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
14 |
$0.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| 36000 |
|
31 |
30 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
31 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
32 |
30 |
$0.00 |
| 84484 |
|
396 |
242 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
276 |
245 |
$0.00 |
| 83690 |
|
69 |
63 |
$0.00 |
| 96376 |
|
26 |
15 |
$0.00 |
| 85730 |
|
65 |
57 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
60 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
48 |
$0.00 |
| 83880 |
|
14 |
14 |
$0.00 |
| 83735 |
|
74 |
57 |
$0.00 |
| 82962 |
|
43 |
25 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
151 |
137 |
$0.00 |
| 81001 |
|
14 |
12 |
$0.00 |