| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,266 |
4,932 |
$503K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,092 |
2,583 |
$241K |
| J3490 |
Unclassified drugs |
4,101 |
2,208 |
$210K |
| 80053 |
Comprehensive metabolic panel |
2,019 |
1,764 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
617 |
574 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
756 |
629 |
$32K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
211 |
177 |
$28K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
364 |
323 |
$27K |
| 87070 |
|
216 |
207 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
683 |
636 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
126 |
116 |
$10K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
30 |
30 |
$10K |
| 81001 |
|
714 |
656 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,766 |
1,541 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
238 |
221 |
$5K |
| 87081 |
|
70 |
70 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
315 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
51 |
48 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
36 |
36 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
91 |
85 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
295 |
257 |
$873.33 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
14 |
12 |
$821.37 |
| 83690 |
|
57 |
53 |
$391.47 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
76 |
68 |
$223.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
38 |
$183.39 |
| 81025 |
|
51 |
49 |
$99.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
88 |
77 |
$18.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
38 |
$0.00 |