| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
612 |
577 |
$104K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
571 |
533 |
$64K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
108 |
94 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
895 |
811 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
52 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
402 |
338 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
94 |
83 |
$3K |
| 84484 |
|
214 |
190 |
$2K |
| 80053 |
Comprehensive metabolic panel |
536 |
474 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
819 |
746 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
13 |
$992.67 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
278 |
246 |
$945.93 |
| 76801 |
|
18 |
18 |
$933.18 |
| 83690 |
|
170 |
160 |
$878.73 |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
27 |
$877.13 |
| 82150 |
|
166 |
155 |
$805.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
103 |
$760.70 |
| 83880 |
|
73 |
67 |
$690.12 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$671.15 |
| 84703 |
|
86 |
81 |
$568.00 |
| 87400 |
|
124 |
113 |
$564.45 |
| 71045 |
Radiologic examination, chest; single view |
292 |
261 |
$562.21 |
| 73562 |
|
29 |
27 |
$534.57 |
| 85379 |
|
55 |
51 |
$506.10 |
| 73630 |
|
28 |
26 |
$457.17 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
88 |
84 |
$328.26 |
| 86850 |
|
32 |
31 |
$289.68 |
| 86900 |
|
33 |
32 |
$288.99 |
| 81003 |
|
224 |
193 |
$243.13 |
| 83735 |
|
69 |
64 |
$204.10 |
| 81001 |
|
206 |
184 |
$175.13 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
15 |
13 |
$132.54 |
| 87040 |
|
29 |
16 |
$126.68 |
| 86901 |
|
33 |
32 |
$118.00 |
| 83605 |
|
32 |
26 |
$64.84 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
12 |
$63.39 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
14 |
12 |
$14.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
95 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
25 |
25 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| 31720 |
|
60 |
60 |
$0.00 |