| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,599 |
3,294 |
$396K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,045 |
1,857 |
$204K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
793 |
712 |
$70K |
| 87631 |
|
698 |
642 |
$51K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
311 |
274 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
95 |
79 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
67 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
211 |
186 |
$5K |
| G0378 |
Hospital observation service, per hour |
59 |
52 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
14 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
445 |
401 |
$676.71 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,049 |
928 |
$362.44 |
| 87428 |
|
631 |
564 |
$342.92 |
| 80053 |
Comprehensive metabolic panel |
2,230 |
1,939 |
$183.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,243 |
1,844 |
$150.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
604 |
551 |
$121.21 |
| 87430 |
|
1,272 |
1,161 |
$97.12 |
| 81001 |
|
1,183 |
1,052 |
$42.06 |
| 83735 |
|
888 |
697 |
$38.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
73 |
$36.56 |
| 87081 |
|
1,025 |
935 |
$33.39 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
348 |
284 |
$17.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
532 |
$11.44 |
| 80061 |
Lipid panel |
13 |
12 |
$9.60 |
| 83690 |
|
302 |
270 |
$5.83 |
| 86140 |
|
17 |
14 |
$4.87 |
| 36415 |
Collection of venous blood by venipuncture |
982 |
850 |
$3.66 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
717 |
633 |
$0.00 |
| 81003 |
|
99 |
90 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
142 |
129 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
94 |
78 |
$0.00 |
| 85610 |
|
149 |
132 |
$0.00 |
| 81025 |
|
62 |
55 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
42 |
$0.00 |
| 73610 |
|
14 |
12 |
$0.00 |
| 85730 |
|
114 |
104 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
176 |
159 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
216 |
187 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
74 |
64 |
$0.00 |
| 85027 |
|
14 |
12 |
$0.00 |
| 84703 |
|
80 |
66 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
52 |
$0.00 |
| 84484 |
|
133 |
87 |
$0.00 |
| 86308 |
|
77 |
72 |
$0.00 |
| 87807 |
|
57 |
53 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
26 |
$0.00 |