| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,511 |
2,989 |
$106K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,417 |
1,161 |
$65K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
108 |
72 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,309 |
1,025 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,472 |
1,144 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
735 |
334 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
141 |
123 |
$4K |
| 81001 |
|
1,222 |
999 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
93 |
89 |
$3K |
| 84703 |
|
460 |
404 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
399 |
295 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
175 |
145 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
428 |
337 |
$1K |
| 87071 |
|
175 |
168 |
$925.65 |
| 74018 |
|
107 |
87 |
$827.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
97 |
80 |
$729.16 |
| 80061 |
Lipid panel |
42 |
39 |
$553.42 |
| 83735 |
|
149 |
106 |
$506.92 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
355 |
246 |
$389.30 |
| 86756 |
|
19 |
19 |
$341.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$208.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
371 |
335 |
$187.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
163 |
137 |
$131.20 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
21 |
$103.53 |
| 84484 |
|
40 |
24 |
$101.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
73 |
58 |
$84.17 |
| 81003 |
|
26 |
24 |
$46.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
52 |
39 |
$10.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
40 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
12 |
$0.00 |