| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,014 |
1,790 |
$121K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,000 |
874 |
$58K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
591 |
543 |
$35K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
194 |
156 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
290 |
263 |
$18K |
| 87428 |
|
487 |
440 |
$14K |
| 80053 |
Comprehensive metabolic panel |
402 |
346 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,084 |
904 |
$6K |
| 80051 |
|
503 |
439 |
$5K |
| 81003 |
|
730 |
644 |
$4K |
| 82947 |
|
610 |
492 |
$3K |
| 82550 |
|
513 |
444 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
83 |
$2K |
| 81025 |
|
272 |
245 |
$2K |
| 82565 |
|
503 |
439 |
$2K |
| 84520 |
|
502 |
438 |
$1K |
| 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 |
19 |
18 |
$660.63 |
| 84484 |
|
57 |
51 |
$417.77 |
| 87420 |
|
17 |
13 |
$164.97 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
658 |
578 |
$38.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
25 |
$15.32 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
411 |
349 |
$8.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
45 |
42 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
287 |
245 |
$0.00 |