| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,706 |
2,521 |
$126K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
399 |
375 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,357 |
1,231 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,335 |
1,214 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
164 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
134 |
132 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
59 |
53 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
187 |
161 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
32 |
30 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
109 |
99 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
112 |
106 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
46 |
32 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
46 |
39 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
76 |
$2K |
| 81003 |
|
203 |
191 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
17 |
16 |
$1K |
| 81025 |
|
86 |
85 |
$744.47 |
| 84484 |
|
79 |
65 |
$675.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
35 |
$669.09 |
| 87807 |
|
32 |
32 |
$598.82 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
29 |
$273.44 |
| 81001 |
|
64 |
62 |
$245.85 |
| 83690 |
|
31 |
28 |
$245.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$194.44 |
| 71045 |
Radiologic examination, chest; single view |
40 |
31 |
$170.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
52 |
$116.66 |
| 85610 |
|
31 |
25 |
$102.96 |
| 82962 |
|
31 |
18 |
$52.07 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
51 |
42 |
$47.32 |
| 36415 |
Collection of venous blood by venipuncture |
1,604 |
1,357 |
$26.81 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
33 |
25 |
$22.22 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
13 |
13 |
$17.73 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
112 |
86 |
$3.04 |
| A9270 |
Non-covered item or service |
18 |
15 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
16 |
$0.00 |