| Code | Description | Claims | Beneficiaries | Total Paid |
| 93268 |
|
1,605 |
1,213 |
$212K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,602 |
2,283 |
$64K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,281 |
1,104 |
$63K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
318 |
56 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,717 |
2,152 |
$26K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
82 |
27 |
$19K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,661 |
1,297 |
$8K |
| 99234 |
|
89 |
76 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
741 |
540 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
145 |
95 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
78 |
71 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
473 |
360 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,593 |
1,139 |
$3K |
| 99235 |
|
16 |
16 |
$965.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
113 |
$614.40 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$185.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
804 |
277 |
$97.64 |
| 1160F |
|
1,810 |
1,159 |
$0.00 |
| 1159F |
|
1,601 |
1,066 |
$0.00 |
| 3078F |
|
451 |
294 |
$0.00 |
| 3077F |
|
62 |
56 |
$0.00 |
| 1125F |
|
672 |
408 |
$0.00 |
| 1036F |
|
315 |
275 |
$0.00 |
| 1170F |
|
558 |
455 |
$0.00 |
| 3008F |
|
1,688 |
1,083 |
$0.00 |
| 1126F |
|
1,373 |
973 |
$0.00 |
| 3075F |
|
220 |
159 |
$0.00 |
| 3074F |
|
217 |
155 |
$0.00 |
| 3079F |
|
117 |
109 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |