| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,532 |
4,490 |
$1.33M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,071 |
1,062 |
$365K |
| X4011 |
State-specific procedure code |
1,654 |
1,608 |
$344K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,059 |
1,017 |
$299K |
| 81025 |
|
778 |
758 |
$263K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
734 |
731 |
$239K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
799 |
797 |
$218K |
| 81001 |
|
718 |
695 |
$215K |
| 80053 |
Comprehensive metabolic panel |
758 |
733 |
$201K |
| 71046 |
Radiologic examination, chest; 2 views |
296 |
295 |
$105K |
| 87070 |
|
209 |
209 |
$67K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
151 |
147 |
$59K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
151 |
149 |
$58K |
| 83690 |
|
164 |
162 |
$51K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
138 |
135 |
$46K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
120 |
119 |
$42K |
| 87420 |
|
109 |
108 |
$35K |
| 81003 |
|
114 |
109 |
$31K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
60 |
59 |
$20K |
| 82150 |
|
57 |
57 |
$18K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
98 |
$17K |
| 84484 |
|
72 |
71 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
30 |
$13K |
| X4003 |
|
13 |
13 |
$9K |
| 84702 |
|
12 |
12 |
$5K |
| 87808 |
|
13 |
13 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
16 |
14 |
$2K |
| J3490 |
Unclassified drugs |
2,085 |
1,297 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
40 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
72 |
67 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
12 |
$0.00 |