| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,695 |
5,915 |
$1.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,751 |
1,612 |
$286K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,017 |
941 |
$180K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
99 |
93 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,130 |
1,047 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
213 |
206 |
$3K |
| 85027 |
|
1,475 |
1,358 |
$711.85 |
| 71046 |
Radiologic examination, chest; 2 views |
182 |
175 |
$230.04 |
| 81025 |
|
243 |
216 |
$141.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
924 |
846 |
$113.51 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
123 |
114 |
$109.93 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
463 |
450 |
$90.46 |
| 81001 |
|
230 |
214 |
$81.72 |
| 71045 |
Radiologic examination, chest; single view |
53 |
53 |
$60.65 |
| 80047 |
|
34 |
32 |
$44.08 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
436 |
418 |
$37.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
657 |
$28.35 |
| 81003 |
|
801 |
756 |
$21.63 |
| 87070 |
|
147 |
145 |
$9.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
166 |
154 |
$4.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
26 |
$0.00 |
| 84703 |
|
404 |
383 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
52 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
12 |
$0.00 |