| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,023 |
936 |
$83K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
261 |
251 |
$26K |
| 80053 |
Comprehensive metabolic panel |
1,265 |
1,108 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
496 |
452 |
$3K |
| 85027 |
|
1,754 |
1,454 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
93 |
80 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
334 |
308 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
80 |
69 |
$1K |
| 81001 |
|
339 |
313 |
$482.39 |
| 84311 |
|
18 |
12 |
$396.61 |
| 82657 |
|
13 |
12 |
$364.60 |
| 88312 |
|
12 |
12 |
$319.53 |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
27 |
$231.85 |
| 84484 |
|
74 |
62 |
$104.70 |
| 83690 |
|
56 |
49 |
$98.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
100 |
77 |
$81.45 |
| 83735 |
|
17 |
12 |
$67.44 |
| 85610 |
|
30 |
27 |
$11.15 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
28 |
24 |
$6.47 |
| 81003 |
|
13 |
13 |
$1.89 |
| A9270 |
Non-covered item or service |
84 |
39 |
$0.00 |