| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
491 |
256 |
$138K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
497 |
441 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,190 |
1,174 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
132 |
131 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
265 |
255 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
227 |
226 |
$2K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
473 |
100 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
139 |
127 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
187 |
180 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
193 |
185 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
165 |
155 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
80 |
77 |
$990.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
125 |
124 |
$948.56 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
44 |
12 |
$645.22 |
| 80053 |
Comprehensive metabolic panel |
25 |
24 |
$416.97 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
13 |
$246.11 |
| 36415 |
Collection of venous blood by venipuncture |
358 |
356 |
$38.18 |