| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
556 |
522 |
$48K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
336 |
295 |
$33K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
356 |
325 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
172 |
145 |
$24K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
19 |
18 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
51 |
44 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
82 |
69 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
14 |
$7K |
| 80053 |
Comprehensive metabolic panel |
238 |
207 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
42 |
40 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
17 |
14 |
$2K |
| 62323 |
|
21 |
13 |
$2K |
| 20610 |
|
13 |
12 |
$1K |
| 84484 |
|
109 |
87 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50 |
41 |
$820.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
12 |
$654.80 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
162 |
142 |
$416.69 |
| 83605 |
|
15 |
12 |
$214.43 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
101 |
91 |
$177.51 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$162.39 |
| 83690 |
|
73 |
60 |
$155.14 |
| 71045 |
Radiologic examination, chest; single view |
114 |
97 |
$146.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
134 |
$132.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
350 |
291 |
$105.12 |
| 85027 |
|
17 |
15 |
$95.52 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
106 |
95 |
$69.70 |
| 36415 |
Collection of venous blood by venipuncture |
319 |
271 |
$51.34 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
178 |
146 |
$18.43 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
51 |
37 |
$4.35 |
| 81001 |
|
164 |
143 |
$4.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
53 |
$3.44 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
23 |
17 |
$0.00 |
| 82550 |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
31 |
16 |
$0.00 |
| 84703 |
|
33 |
29 |
$0.00 |
| 00126 |
|
17 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
41 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
47 |
33 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
24 |
21 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
45 |
30 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
30 |
16 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
30 |
24 |
$0.00 |
| 81003 |
|
33 |
29 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$0.00 |