| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,743 |
17,596 |
$2.45M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,970 |
4,439 |
$653K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,813 |
2,365 |
$294K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
944 |
801 |
$277K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
679 |
592 |
$79K |
| 80053 |
Comprehensive metabolic panel |
1,171 |
957 |
$28K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
171 |
155 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
256 |
230 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
108 |
97 |
$4K |
| J3490 |
Unclassified drugs |
15,419 |
8,698 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$3K |
| 84484 |
|
208 |
167 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,405 |
3,861 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,088 |
1,783 |
$1K |
| 80051 |
|
3,269 |
2,881 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
541 |
445 |
$827.85 |
| 81003 |
|
3,186 |
2,905 |
$389.89 |
| 82947 |
|
3,670 |
3,079 |
$305.94 |
| 82565 |
|
3,273 |
2,880 |
$288.73 |
| 84520 |
|
3,276 |
2,880 |
$282.51 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
859 |
714 |
$193.30 |
| 81025 |
|
1,058 |
986 |
$165.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
205 |
$120.46 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
928 |
746 |
$38.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,329 |
1,058 |
$18.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$12.00 |
| 71045 |
Radiologic examination, chest; single view |
260 |
230 |
$8.11 |
| 82977 |
|
213 |
186 |
$5.12 |
| 82150 |
|
213 |
186 |
$4.58 |
| 84460 |
|
213 |
186 |
$3.66 |
| 84450 |
|
213 |
186 |
$3.53 |
| 84075 |
|
213 |
186 |
$3.30 |
| 82247 |
|
213 |
186 |
$3.27 |
| 82040 |
|
213 |
186 |
$3.22 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
50 |
39 |
$3.06 |
| 84155 |
|
213 |
186 |
$2.37 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
338 |
267 |
$1.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
338 |
264 |
$1.03 |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
216 |
$0.00 |
| 81002 |
|
431 |
237 |
$0.00 |
| 84702 |
|
53 |
33 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
15 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
13 |
$0.00 |