| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,615 |
1,525 |
$203K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
649 |
587 |
$56K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
477 |
440 |
$49K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
38 |
37 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
402 |
373 |
$5K |
| 80053 |
Comprehensive metabolic panel |
143 |
142 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
662 |
627 |
$970.95 |
| J3490 |
Unclassified drugs |
5,819 |
2,120 |
$851.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,198 |
1,122 |
$705.90 |
| A4649 |
Surgical supply; miscellaneous |
744 |
706 |
$569.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
92 |
67 |
$457.70 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,075 |
708 |
$374.05 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
38 |
37 |
$313.95 |
| 80076 |
|
14 |
12 |
$198.66 |
| J2704 |
Injection, propofol, 10 mg |
2,083 |
1,422 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
106 |
101 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
847 |
646 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,021 |
745 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
275 |
254 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
445 |
417 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
158 |
147 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
15 |
13 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
18 |
12 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
395 |
308 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
688 |
645 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
86 |
80 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
15 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
25 |
24 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
38 |
36 |
$0.00 |
| A7002 |
Tubing, used with suction pump, each |
12 |
12 |
$0.00 |