| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,790 |
5,550 |
$942K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,901 |
1,767 |
$703K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
362 |
339 |
$86K |
| 80053 |
Comprehensive metabolic panel |
2,523 |
2,297 |
$27K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
87 |
85 |
$21K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
791 |
766 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,387 |
2,138 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
88 |
86 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,057 |
625 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
284 |
257 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
278 |
253 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
253 |
236 |
$3K |
| 81001 |
|
703 |
670 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
233 |
214 |
$790.21 |
| 87899 |
|
73 |
72 |
$607.97 |
| 84484 |
|
209 |
150 |
$523.60 |
| 81025 |
|
59 |
57 |
$508.15 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
119 |
117 |
$488.41 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$435.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$428.84 |
| 87807 |
|
39 |
39 |
$330.83 |
| 87430 |
|
29 |
29 |
$289.95 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$258.86 |
| 87081 |
|
15 |
15 |
$219.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$213.19 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
26 |
$212.05 |
| 85027 |
|
29 |
26 |
$165.91 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
68 |
64 |
$159.35 |
| 87070 |
|
16 |
16 |
$74.23 |
| 87088 |
|
26 |
26 |
$74.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$20.45 |
| 83690 |
|
13 |
13 |
$19.76 |
| 81003 |
|
13 |
13 |
$19.12 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
65 |
$2.69 |
| A9270 |
Non-covered item or service |
84 |
72 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
13 |
12 |
$0.00 |