| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,671 |
7,634 |
$1.31M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,124 |
1,120 |
$310K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,411 |
1,396 |
$208K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
347 |
342 |
$121K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
926 |
923 |
$96K |
| 80053 |
Comprehensive metabolic panel |
4,346 |
4,302 |
$63K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,078 |
5,019 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,694 |
849 |
$23K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
442 |
427 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
280 |
280 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
49 |
49 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
512 |
508 |
$8K |
| 81025 |
|
405 |
404 |
$3K |
| 83690 |
|
296 |
296 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
82 |
81 |
$1K |
| 81001 |
|
357 |
355 |
$937.82 |
| 83605 |
|
88 |
82 |
$884.94 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
26 |
$783.34 |
| 81003 |
|
245 |
245 |
$655.09 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$607.97 |
| 36415 |
Collection of venous blood by venipuncture |
135 |
134 |
$543.34 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
75 |
74 |
$386.97 |
| 87807 |
|
25 |
25 |
$287.79 |
| 84484 |
|
26 |
26 |
$273.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
153 |
153 |
$203.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
253 |
246 |
$110.76 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
39 |
39 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
46 |
46 |
$0.00 |
| A4565 |
Slings |
15 |
15 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
95 |
92 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
108 |
106 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
44 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
63 |
63 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
52 |
52 |
$0.00 |