| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,521 |
1,400 |
$236K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
629 |
578 |
$108K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
408 |
377 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
735 |
641 |
$1K |
| 80053 |
Comprehensive metabolic panel |
579 |
532 |
$919.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
210 |
189 |
$834.74 |
| 85027 |
|
647 |
594 |
$239.98 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
311 |
290 |
$150.17 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
711 |
654 |
$104.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
383 |
$13.86 |
| 84703 |
|
323 |
305 |
$7.52 |
| 81003 |
|
506 |
474 |
$2.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
28 |
$1.66 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
13 |
$0.78 |
| 71045 |
Radiologic examination, chest; single view |
213 |
198 |
$0.00 |
| 84484 |
|
27 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
37 |
$0.00 |
| 87070 |
|
57 |
53 |
$0.00 |
| 82150 |
|
13 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
29 |
28 |
$0.00 |
| 87807 |
|
21 |
20 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
55 |
51 |
$0.00 |