| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,025 |
1,000 |
$253K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,461 |
1,439 |
$243K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
208 |
204 |
$69K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
463 |
451 |
$63K |
| 80053 |
Comprehensive metabolic panel |
1,000 |
971 |
$39K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
331 |
320 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
119 |
119 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
383 |
380 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
131 |
131 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
90 |
90 |
$12K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
159 |
156 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
168 |
161 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
538 |
268 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
412 |
400 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,076 |
1,042 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
556 |
540 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
116 |
$7K |
| 81001 |
|
561 |
552 |
$3K |
| 83735 |
|
555 |
541 |
$3K |
| 84703 |
|
185 |
183 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
51 |
50 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$2K |
| 83605 |
|
117 |
112 |
$1K |
| 84484 |
|
105 |
97 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 87400 |
|
43 |
42 |
$1K |
| 83690 |
|
150 |
146 |
$821.42 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
159 |
150 |
$797.15 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$276.32 |
| 87430 |
|
26 |
25 |
$224.25 |
| 87807 |
|
14 |
14 |
$163.10 |
| 80306 |
|
12 |
12 |
$152.50 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
159 |
154 |
$71.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
124 |
121 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
26 |
24 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
103 |
102 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
94 |
90 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
15 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |