| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,437 |
3,275 |
$2.33M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,910 |
4,745 |
$1.93M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
378 |
344 |
$285K |
| G0378 |
Hospital observation service, per hour |
287 |
112 |
$154K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,905 |
937 |
$73K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
155 |
148 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,213 |
1,170 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
405 |
377 |
$48K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
599 |
581 |
$43K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$25K |
| 80053 |
Comprehensive metabolic panel |
2,252 |
2,008 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
4,200 |
3,622 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
477 |
463 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,867 |
1,697 |
$15K |
| 87807 |
|
177 |
171 |
$5K |
| 87081 |
|
306 |
300 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
154 |
139 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
167 |
160 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
125 |
119 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
45 |
$2K |
| 81001 |
|
362 |
349 |
$2K |
| 85027 |
|
197 |
164 |
$2K |
| 86141 |
|
46 |
43 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
115 |
91 |
$1K |
| 86710 |
|
76 |
72 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
19 |
$897.43 |
| 85007 |
|
134 |
114 |
$754.35 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$541.82 |
| J7510 |
Prednisolone oral, per 5 mg |
33 |
32 |
$508.99 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
44 |
43 |
$405.12 |
| 83690 |
|
24 |
24 |
$325.44 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
12 |
$297.08 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
36 |
32 |
$245.40 |
| 87040 |
|
12 |
12 |
$229.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$54.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$46.38 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
42 |
40 |
$41.23 |
| 81003 |
|
13 |
12 |
$13.15 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
164 |
83 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
28 |
$0.00 |