| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,751 |
1,461 |
$178K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
698 |
641 |
$117K |
| 0450 |
Emergency room services |
969 |
839 |
$58K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
214 |
192 |
$37K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
318 |
288 |
$19K |
| 80053 |
Comprehensive metabolic panel |
981 |
897 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,077 |
975 |
$9K |
| 99199 |
Unlisted special service, procedure or report |
151 |
130 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
120 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
77 |
71 |
$4K |
| 0223U |
|
13 |
13 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
47 |
40 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
32 |
29 |
$3K |
| 0259 |
|
226 |
135 |
$2K |
| 0250 |
|
101 |
88 |
$2K |
| J3490 |
Unclassified drugs |
196 |
114 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
48 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
77 |
76 |
$1K |
| Z7502 |
|
33 |
27 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
15 |
$697.57 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$651.63 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$405.33 |
| 80061 |
Lipid panel |
41 |
41 |
$402.93 |
| 0270 |
|
26 |
24 |
$184.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$155.57 |
| 87088 |
|
12 |
12 |
$66.88 |
| 81001 |
|
16 |
15 |
$55.93 |
| 81003 |
|
16 |
16 |
$21.97 |