| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,235 |
16,728 |
$2.53M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,247 |
2,006 |
$347K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,704 |
1,331 |
$153K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
778 |
705 |
$107K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
104 |
91 |
$37K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
209 |
190 |
$17K |
| 80053 |
Comprehensive metabolic panel |
530 |
367 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
310 |
246 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
221 |
182 |
$7K |
| J3490 |
Unclassified drugs |
9,992 |
6,270 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$1K |
| 84484 |
|
32 |
24 |
$824.03 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,685 |
2,235 |
$679.57 |
| 80051 |
|
1,994 |
1,723 |
$520.10 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
595 |
508 |
$436.71 |
| 81025 |
|
231 |
205 |
$353.41 |
| 71045 |
Radiologic examination, chest; single view |
77 |
65 |
$344.86 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
97 |
81 |
$237.69 |
| 81003 |
|
1,567 |
1,395 |
$187.92 |
| 82947 |
|
2,347 |
1,934 |
$180.26 |
| 82565 |
|
1,996 |
1,723 |
$144.11 |
| 84520 |
|
1,999 |
1,723 |
$139.56 |
| 82040 |
|
33 |
25 |
$14.87 |
| 82977 |
|
33 |
25 |
$12.55 |
| 82247 |
|
33 |
25 |
$11.35 |
| 84450 |
|
33 |
25 |
$11.35 |
| 84155 |
|
33 |
25 |
$11.35 |
| 82150 |
|
33 |
25 |
$11.35 |
| 84075 |
|
33 |
25 |
$11.35 |
| 84460 |
|
33 |
25 |
$10.77 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
24 |
16 |
$7.28 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
60 |
53 |
$0.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
48 |
41 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
198 |
159 |
$0.00 |
| 81002 |
|
194 |
99 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
56 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
44 |
38 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
129 |
98 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
41 |
38 |
$0.00 |