| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,552 |
1,473 |
$53K |
| 80053 |
Comprehensive metabolic panel |
236 |
226 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
150 |
150 |
$3K |
| 80061 |
Lipid panel |
149 |
149 |
$2K |
| 87430 |
|
141 |
133 |
$2K |
| 87400 |
|
702 |
325 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
244 |
199 |
$2K |
| 84439 |
|
146 |
146 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19 |
18 |
$1K |
| 87070 |
|
122 |
116 |
$1K |
| 85027 |
|
111 |
109 |
$558.48 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
53 |
$543.40 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
28 |
$305.75 |
| 81001 |
|
68 |
65 |
$232.50 |
| 84484 |
|
21 |
14 |
$168.45 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$146.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$134.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
357 |
291 |
$84.71 |
| 81025 |
|
16 |
16 |
$47.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
52 |
$19.51 |
| 36415 |
Collection of venous blood by venipuncture |
294 |
263 |
$2.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$1.20 |