| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
871 |
845 |
$144K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
833 |
810 |
$66K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97 |
94 |
$34K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
33 |
33 |
$4K |
| 80053 |
Comprehensive metabolic panel |
681 |
607 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
42 |
41 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
603 |
543 |
$919.49 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
75 |
67 |
$500.58 |
| 84484 |
|
163 |
125 |
$155.47 |
| 82553 |
|
133 |
110 |
$123.46 |
| 82550 |
|
152 |
122 |
$78.46 |
| 81001 |
|
25 |
25 |
$19.10 |
| 36415 |
Collection of venous blood by venipuncture |
983 |
777 |
$7.91 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
33 |
25 |
$6.46 |
| A9270 |
Non-covered item or service |
488 |
464 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24 |
24 |
$0.00 |
| J3490 |
Unclassified drugs |
262 |
125 |
$0.00 |
| 85027 |
|
21 |
17 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
199 |
161 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
14 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |