| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,568 |
1,452 |
$88K |
| 36415 |
Collection of venous blood by venipuncture |
606 |
556 |
$56K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
322 |
263 |
$48K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
335 |
326 |
$24K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
598 |
140 |
$21K |
| 87430 |
|
205 |
200 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
787 |
733 |
$13K |
| 87400 |
|
284 |
141 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
211 |
203 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
320 |
$7K |
| 81001 |
|
415 |
399 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
334 |
256 |
$5K |
| 80053 |
Comprehensive metabolic panel |
319 |
306 |
$2K |
| 81025 |
|
198 |
188 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
213 |
195 |
$1K |
| 81003 |
|
72 |
69 |
$910.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
156 |
149 |
$866.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
555 |
517 |
$605.72 |
| 71045 |
Radiologic examination, chest; single view |
69 |
54 |
$230.90 |
| 84484 |
|
108 |
102 |
$221.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
16 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
145 |
135 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
13 |
12 |
$0.00 |
| 94760 |
|
256 |
242 |
$0.00 |
| 85027 |
|
12 |
12 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$0.00 |
| 83690 |
|
64 |
60 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
36 |
36 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
14 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
298 |
243 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
17 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
14 |
$0.00 |