| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,478 |
1,323 |
$103K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
267 |
242 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
171 |
150 |
$15K |
| 80053 |
Comprehensive metabolic panel |
298 |
279 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
24 |
$4K |
| 85027 |
|
315 |
293 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
15 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
215 |
191 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
73 |
68 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
59 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
188 |
177 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
130 |
118 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
32 |
30 |
$1K |
| 83690 |
|
100 |
94 |
$1K |
| J3490 |
Unclassified drugs |
60 |
44 |
$879.85 |
| 81015 |
|
159 |
153 |
$836.51 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
28 |
26 |
$527.74 |
| 81025 |
|
85 |
81 |
$489.01 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$483.33 |
| 84484 |
|
16 |
14 |
$340.84 |
| 84540 |
|
38 |
38 |
$300.86 |
| 81001 |
|
23 |
23 |
$157.43 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$92.07 |