| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,767 |
2,583 |
$358K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,361 |
2,140 |
$313K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,443 |
1,339 |
$204K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
324 |
293 |
$105K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,120 |
1,019 |
$13K |
| 80053 |
Comprehensive metabolic panel |
899 |
830 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
46 |
45 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,912 |
3,569 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
379 |
344 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
437 |
357 |
$639.29 |
| J3490 |
Unclassified drugs |
7,052 |
4,090 |
$588.83 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
754 |
698 |
$325.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$236.99 |
| 80061 |
Lipid panel |
76 |
74 |
$234.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
55 |
$198.00 |
| 81001 |
|
230 |
211 |
$97.95 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
70 |
66 |
$42.58 |
| 81025 |
|
46 |
39 |
$2.22 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
173 |
126 |
$0.74 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
331 |
277 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
263 |
194 |
$0.00 |
| 84484 |
|
42 |
37 |
$0.00 |
| 83690 |
|
69 |
66 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$0.00 |