| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,913 |
3,688 |
$639K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,399 |
2,281 |
$401K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
781 |
749 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
40 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
25 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
703 |
662 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
599 |
589 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,096 |
1,031 |
$1K |
| 80053 |
Comprehensive metabolic panel |
2,038 |
1,938 |
$549.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,282 |
2,160 |
$352.37 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
420 |
391 |
$335.54 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
550 |
523 |
$242.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
164 |
$163.96 |
| 71045 |
Radiologic examination, chest; single view |
216 |
213 |
$99.90 |
| 81001 |
|
963 |
931 |
$91.33 |
| 36415 |
Collection of venous blood by venipuncture |
2,419 |
2,240 |
$69.16 |
| 83690 |
|
427 |
415 |
$55.22 |
| 84484 |
|
127 |
120 |
$52.07 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
467 |
435 |
$45.73 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$45.26 |
| 81025 |
|
224 |
220 |
$43.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
396 |
380 |
$40.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
150 |
142 |
$30.37 |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
67 |
$18.14 |
| 83735 |
|
54 |
53 |
$15.64 |
| 81003 |
|
28 |
28 |
$5.06 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
227 |
222 |
$4.26 |
| 87400 |
|
29 |
28 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
102 |
94 |
$0.00 |
| 87631 |
|
44 |
42 |
$0.00 |
| 85610 |
|
14 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$0.00 |
| 80047 |
|
12 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
27 |
19 |
$0.00 |
| 87088 |
|
13 |
12 |
$0.00 |