| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,510 |
2,213 |
$437K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,245 |
1,054 |
$278K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
219 |
174 |
$66K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
235 |
220 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
196 |
186 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
79 |
73 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,297 |
1,198 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
599 |
497 |
$7K |
| 80053 |
Comprehensive metabolic panel |
957 |
898 |
$7K |
| J3490 |
Unclassified drugs |
1,964 |
1,433 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
97 |
96 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
120 |
12 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,368 |
1,258 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
157 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
371 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
216 |
201 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
113 |
106 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$1K |
| 81001 |
|
503 |
474 |
$1K |
| G0378 |
Hospital observation service, per hour |
13 |
12 |
$943.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$866.75 |
| 86780 |
|
57 |
53 |
$828.59 |
| 90834 |
Psychotherapy, 45 minutes with patient |
73 |
44 |
$708.04 |
| 86703 |
|
56 |
52 |
$703.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$514.08 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
722 |
645 |
$467.63 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
221 |
$418.13 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$331.02 |
| 88142 |
|
13 |
13 |
$302.88 |
| 83735 |
|
53 |
52 |
$200.40 |
| 87081 |
|
25 |
25 |
$179.50 |
| J2060 |
Injection, lorazepam, 2 mg |
13 |
13 |
$168.65 |
| 80061 |
Lipid panel |
12 |
12 |
$98.67 |
| 83690 |
|
14 |
13 |
$68.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
15 |
$28.66 |