| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,236 |
14,044 |
$470K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,936 |
10,034 |
$422K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,262 |
3,090 |
$89K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,357 |
1,191 |
$69K |
| 80053 |
Comprehensive metabolic panel |
5,623 |
4,945 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,872 |
5,032 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,441 |
2,310 |
$37K |
| 87400 |
|
6,748 |
3,247 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,457 |
1,299 |
$16K |
| 81001 |
|
4,941 |
4,490 |
$9K |
| 80305 |
|
1,126 |
1,018 |
$8K |
| 80061 |
Lipid panel |
469 |
428 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
682 |
620 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
446 |
414 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
730 |
552 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
142 |
124 |
$4K |
| 87088 |
|
437 |
388 |
$3K |
| 81025 |
|
858 |
773 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
75 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
37 |
$2K |
| 84484 |
|
549 |
383 |
$2K |
| 71250 |
|
13 |
12 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,149 |
2,926 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
12 |
$1K |
| 82553 |
|
209 |
174 |
$1K |
| 83735 |
|
189 |
157 |
$1K |
| 84439 |
|
106 |
90 |
$754.01 |
| 82550 |
|
209 |
172 |
$710.40 |
| 85027 |
|
134 |
108 |
$695.60 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
277 |
247 |
$596.74 |
| 71045 |
Radiologic examination, chest; single view |
130 |
113 |
$350.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,035 |
939 |
$332.06 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
297 |
256 |
$306.25 |
| 85610 |
|
134 |
119 |
$278.97 |
| 87420 |
|
13 |
13 |
$275.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
25 |
$229.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,528 |
8,762 |
$190.15 |
| 83690 |
|
31 |
26 |
$163.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,282 |
1,131 |
$162.37 |
| 85730 |
|
97 |
89 |
$105.12 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
30 |
26 |
$96.04 |
| 82962 |
|
124 |
71 |
$89.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
580 |
503 |
$4.59 |
| 36415 |
Collection of venous blood by venipuncture |
590 |
514 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
12 |
$0.00 |