| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,831 |
4,301 |
$678K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,738 |
1,183 |
$225K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
398 |
301 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
258 |
197 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,068 |
769 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,035 |
782 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
14 |
$5K |
| 86769 |
|
115 |
97 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
112 |
76 |
$5K |
| 9928525 |
|
32 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
276 |
200 |
$3K |
| 87430 |
|
232 |
163 |
$2K |
| J3490 |
Unclassified drugs |
630 |
303 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
16 |
12 |
$982.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32 |
30 |
$738.23 |
| 81001 |
|
372 |
272 |
$660.22 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17 |
13 |
$646.74 |
| 36415 |
Collection of venous blood by venipuncture |
411 |
276 |
$635.71 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
15 |
$460.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
221 |
144 |
$415.76 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
87 |
71 |
$277.18 |
| 83690 |
|
50 |
42 |
$265.98 |
| 83735 |
|
86 |
54 |
$257.63 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19 |
15 |
$251.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
49 |
39 |
$215.86 |
| 84484 |
|
44 |
35 |
$208.42 |
| 84703 |
|
39 |
26 |
$196.75 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
91 |
55 |
$189.24 |
| 85027 |
|
46 |
38 |
$173.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
14 |
$99.90 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
27 |
$88.13 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
17 |
15 |
$36.26 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
16 |
12 |
$31.17 |