| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,729 |
2,520 |
$378K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,828 |
3,634 |
$323K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,624 |
2,753 |
$140K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
374 |
345 |
$89K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
135 |
121 |
$45K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
141 |
132 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,919 |
3,477 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
238 |
226 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,597 |
4,151 |
$5K |
| 80053 |
Comprehensive metabolic panel |
3,183 |
2,919 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
311 |
276 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
37 |
31 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
27 |
26 |
$1K |
| 87631 |
|
14 |
13 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
28 |
26 |
$1K |
| 87634 |
|
15 |
14 |
$954.72 |
| 71045 |
Radiologic examination, chest; single view |
21 |
16 |
$941.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
55 |
$467.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$431.37 |
| 80061 |
Lipid panel |
14 |
14 |
$259.44 |
| J3490 |
Unclassified drugs |
466 |
307 |
$145.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
100 |
$58.01 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
30 |
$52.13 |
| 81001 |
|
1,466 |
1,313 |
$40.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
66 |
$1.18 |
| A9270 |
Non-covered item or service |
1,456 |
926 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
15 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$0.00 |
| 82077 |
|
22 |
15 |
$0.00 |
| 80306 |
|
14 |
12 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
57 |
53 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$0.00 |
| 81025 |
|
15 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$0.00 |