| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,744 |
1,555 |
$103K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
952 |
836 |
$90K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
362 |
312 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
410 |
368 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
725 |
599 |
$10K |
| 80053 |
Comprehensive metabolic panel |
561 |
471 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
201 |
179 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
42 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
90 |
76 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
25 |
$463.59 |
| 84484 |
|
31 |
15 |
$385.91 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
14 |
$328.30 |
| 81001 |
|
78 |
64 |
$303.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$288.41 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
13 |
$253.02 |
| 83735 |
|
32 |
26 |
$136.76 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21 |
16 |
$86.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$3.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
12 |
$0.00 |