| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
548 |
527 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
327 |
317 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
187 |
178 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
292 |
289 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
45 |
44 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
85 |
82 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
266 |
249 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
124 |
121 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$794.17 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
43 |
42 |
$299.58 |
| 82947 |
|
248 |
152 |
$153.27 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$141.32 |
| 36415 |
Collection of venous blood by venipuncture |
417 |
387 |
$135.16 |
| 80053 |
Comprehensive metabolic panel |
88 |
85 |
$31.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
178 |
161 |
$31.08 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$16.92 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
44 |
36 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
14 |
$0.00 |