| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
145 |
142 |
$80K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
166 |
159 |
$60K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
75 |
71 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
14 |
$22K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
320 |
92 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
65 |
57 |
$15K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
121 |
42 |
$8K |
| 97162 |
|
12 |
12 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
75 |
72 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
29 |
13 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
51 |
49 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
65 |
20 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
19 |
$875.51 |
| 74018 |
|
12 |
12 |
$526.28 |
| 87186 |
|
30 |
28 |
$55.72 |
| 80053 |
Comprehensive metabolic panel |
204 |
192 |
$52.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
250 |
233 |
$36.76 |
| 81001 |
|
155 |
146 |
$3.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
55 |
$0.00 |
| 81025 |
|
30 |
28 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
20 |
17 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
60 |
59 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
69 |
65 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
15 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 87077 |
|
33 |
31 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |
| 97014 |
|
36 |
15 |
$0.00 |
| 83690 |
|
71 |
65 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
67 |
62 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
83 |
82 |
$0.00 |
| 87088 |
|
62 |
58 |
$0.00 |
| 84484 |
|
40 |
37 |
$0.00 |
| 83605 |
|
39 |
37 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
82 |
80 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
85 |
79 |
$0.00 |
| 83735 |
|
13 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.00 |
| 84703 |
|
23 |
23 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
32 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |