| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,091 |
3,864 |
$452K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,547 |
1,413 |
$152K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
691 |
658 |
$64K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
129 |
114 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
24 |
24 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
755 |
708 |
$596.65 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
15 |
$531.02 |
| 71045 |
Radiologic examination, chest; single view |
130 |
122 |
$238.94 |
| 80053 |
Comprehensive metabolic panel |
1,052 |
955 |
$56.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,276 |
1,159 |
$47.54 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
25 |
$27.12 |
| 83735 |
|
136 |
124 |
$7.25 |
| 87430 |
|
73 |
70 |
$5.23 |
| 83690 |
|
28 |
24 |
$5.00 |
| 81002 |
|
16 |
15 |
$3.57 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
105 |
$1.64 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
74 |
67 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
272 |
244 |
$0.00 |
| 85610 |
|
18 |
17 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
41 |
38 |
$0.00 |
| 81003 |
|
25 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$0.00 |
| 81001 |
|
45 |
41 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
237 |
216 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
36 |
36 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
51 |
48 |
$0.00 |