| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,074 |
995 |
$142K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
379 |
360 |
$84K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
112 |
104 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
62 |
59 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
82 |
73 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
216 |
198 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
79 |
70 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
27 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
82 |
75 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$0.00 |
| 84703 |
|
26 |
25 |
$0.00 |
| 81003 |
|
121 |
110 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
68 |
58 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$0.00 |