| Code | Description | Claims | Beneficiaries | Total Paid |
| 84484 |
|
171 |
130 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
179 |
176 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
378 |
351 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$0.00 |
| 96161 |
|
266 |
255 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
111 |
104 |
$0.00 |
| 81001 |
|
212 |
205 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
198 |
193 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
392 |
366 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
233 |
222 |
$0.00 |
| 83690 |
|
167 |
158 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
56 |
55 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
570 |
551 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
58 |
57 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
218 |
211 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
113 |
108 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
143 |
139 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
351 |
334 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
27 |
$0.00 |
| 96160 |
|
918 |
832 |
$0.00 |
| 80076 |
|
231 |
219 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
90 |
86 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
223 |
201 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
26 |
25 |
$0.00 |
| 81025 |
|
114 |
111 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
168 |
165 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
76 |
74 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
33 |
31 |
$0.00 |