| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,562 |
2,283 |
$160K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,341 |
2,514 |
$101K |
| A9270 |
Non-covered item or service |
4,330 |
1,774 |
$59K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,275 |
1,151 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
542 |
463 |
$47K |
| J3490 |
Unclassified drugs |
1,195 |
686 |
$34K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
82 |
77 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
278 |
258 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
613 |
508 |
$10K |
| 80053 |
Comprehensive metabolic panel |
752 |
665 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
13 |
$7K |
| 87400 |
|
148 |
70 |
$6K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
40 |
25 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
187 |
157 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,671 |
1,426 |
$3K |
| 81001 |
|
139 |
121 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
255 |
209 |
$976.17 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
25 |
$560.64 |
| 11721 |
|
29 |
14 |
$340.90 |
| G0008 |
Administration of influenza virus vaccine |
72 |
13 |
$316.55 |
| 87807 |
|
15 |
14 |
$157.93 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
193 |
183 |
$85.10 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
29 |
25 |
$45.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
102 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
14 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
204 |
162 |
$0.00 |