| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,170 |
4,403 |
$553K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,044 |
1,019 |
$157K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,569 |
1,664 |
$147K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
889 |
631 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,197 |
930 |
$50K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
523 |
266 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
1,470 |
1,025 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,588 |
1,185 |
$38K |
| 80053 |
Comprehensive metabolic panel |
3,697 |
2,567 |
$24K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
158 |
121 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,859 |
1,412 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,915 |
2,694 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,337 |
1,022 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
883 |
540 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
38 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
77 |
63 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
213 |
164 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
136 |
90 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,418 |
1,738 |
$5K |
| 81001 |
|
2,272 |
1,600 |
$4K |
| 83735 |
|
1,003 |
715 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
83 |
$4K |
| 84484 |
|
430 |
307 |
$3K |
| 83880 |
|
137 |
90 |
$3K |
| 87088 |
|
522 |
357 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
83 |
66 |
$2K |
| 81025 |
|
129 |
79 |
$611.29 |
| 82550 |
|
104 |
78 |
$599.92 |
| 0002A |
|
19 |
18 |
$370.76 |
| 87807 |
|
36 |
27 |
$333.79 |
| 82553 |
|
30 |
27 |
$328.40 |
| 0001A |
|
23 |
18 |
$268.78 |
| 93041 |
|
30 |
12 |
$194.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
30 |
24 |
$192.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
153 |
104 |
$166.98 |
| 83605 |
|
16 |
12 |
$104.10 |
| 80305 |
|
16 |
12 |
$99.06 |
| 85610 |
|
29 |
25 |
$84.32 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$82.80 |
| 85014 |
|
32 |
24 |
$77.55 |
| 85018 |
|
32 |
24 |
$77.55 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
17 |
12 |
$14.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |
| 94761 |
|
57 |
20 |
$0.00 |
| 94760 |
|
53 |
22 |
$0.00 |
| J3490 |
Unclassified drugs |
13 |
12 |
$0.00 |
| 36591 |
|
12 |
12 |
$0.00 |