| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
1,599 |
1,455 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
73 |
67 |
$666.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
444 |
418 |
$572.40 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
90 |
82 |
$446.95 |
| 70450 |
Computed tomography, head or brain; without contrast material |
71 |
71 |
$197.64 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
77 |
70 |
$189.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
806 |
741 |
$176.95 |
| 71045 |
Radiologic examination, chest; single view |
216 |
210 |
$157.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
150 |
$118.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
415 |
386 |
$116.66 |
| 84484 |
|
324 |
301 |
$114.41 |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
108 |
$90.70 |
| 80053 |
Comprehensive metabolic panel |
454 |
425 |
$89.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
50 |
40 |
$85.16 |
| 83605 |
|
103 |
100 |
$77.05 |
| J3490 |
Unclassified drugs |
1,385 |
717 |
$67.06 |
| 85610 |
|
338 |
319 |
$30.08 |
| 85730 |
|
258 |
246 |
$26.99 |
| 81001 |
|
368 |
351 |
$24.26 |
| 83880 |
|
28 |
27 |
$24.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
110 |
104 |
$23.66 |
| 84703 |
|
131 |
125 |
$22.82 |
| 84145 |
|
38 |
37 |
$17.77 |
| 83690 |
|
298 |
277 |
$9.72 |
| 81003 |
|
119 |
114 |
$1.57 |
| 71010 |
|
13 |
13 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$0.00 |