| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,744 |
3,104 |
$541K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,201 |
745 |
$318K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,931 |
1,510 |
$285K |
| 87428 |
|
305 |
303 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
43 |
43 |
$6K |
| 80053 |
Comprehensive metabolic panel |
549 |
524 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
573 |
543 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
112 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
265 |
244 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
13 |
$549.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
68 |
63 |
$387.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$382.20 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$348.80 |
| 80306 |
|
12 |
12 |
$167.75 |
| 87807 |
|
14 |
14 |
$163.10 |
| 87081 |
|
12 |
12 |
$70.80 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
72 |
72 |
$26.00 |
| 81003 |
|
12 |
12 |
$16.00 |