| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
534 |
478 |
$78K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
613 |
537 |
$57K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,071 |
824 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
196 |
180 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,976 |
1,458 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,188 |
1,649 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$552.09 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
666 |
589 |
$514.82 |
| 81001 |
|
568 |
479 |
$229.78 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$165.07 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$53.61 |
| 71045 |
Radiologic examination, chest; single view |
325 |
296 |
$40.15 |
| 84484 |
|
237 |
179 |
$39.51 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$28.24 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
24 |
$9.38 |
| 83735 |
|
92 |
61 |
$0.00 |
| 83605 |
|
44 |
41 |
$0.00 |
| 85730 |
|
30 |
24 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
68 |
64 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
72 |
53 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
12 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
78 |
41 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
26 |
$0.00 |
| 85610 |
|
13 |
12 |
$0.00 |