| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,829 |
1,799 |
$230K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
519 |
511 |
$93K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
270 |
267 |
$53K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
545 |
538 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
534 |
$21K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
208 |
207 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
173 |
170 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
644 |
632 |
$14K |
| 74178 |
|
78 |
78 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,010 |
987 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
193 |
193 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
573 |
565 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
965 |
938 |
$7K |
| 87430 |
|
542 |
537 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
184 |
152 |
$3K |
| 86756 |
|
198 |
196 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,079 |
1,001 |
$2K |
| 81001 |
|
761 |
710 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
300 |
291 |
$2K |
| 80305 |
|
173 |
140 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
177 |
173 |
$1K |
| 86710 |
|
41 |
41 |
$1K |
| 84703 |
|
143 |
141 |
$1K |
| G0379 |
Direct admission of patient for hospital observation care |
19 |
15 |
$970.72 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$968.04 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
23 |
16 |
$874.86 |
| 82550 |
|
103 |
93 |
$868.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
45 |
$698.74 |
| 83690 |
|
95 |
95 |
$638.64 |
| 74022 |
|
29 |
28 |
$614.04 |
| 82553 |
|
26 |
24 |
$492.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
25 |
$426.75 |
| 85610 |
|
105 |
105 |
$421.81 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
13 |
$320.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
78 |
$293.40 |
| 84484 |
|
13 |
12 |
$194.94 |
| 82150 |
|
30 |
30 |
$163.18 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$112.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
218 |
213 |
$12.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
115 |
$0.00 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
14 |
14 |
$0.00 |