| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,456 |
3,197 |
$1.85M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,162 |
4,941 |
$761K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
305 |
281 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
521 |
507 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,174 |
3,664 |
$31K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
343 |
301 |
$17K |
| 87400 |
|
710 |
352 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
492 |
450 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,433 |
1,226 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
387 |
360 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
419 |
407 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
87 |
82 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
986 |
739 |
$6K |
| 87807 |
|
303 |
295 |
$5K |
| 81001 |
|
1,335 |
1,203 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
25 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
13 |
$2K |
| 81025 |
|
129 |
119 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
51 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$1K |
| 84484 |
|
469 |
389 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
13 |
$386.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
24 |
$337.23 |
| 87081 |
|
26 |
26 |
$240.51 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
205 |
179 |
$216.85 |
| 36415 |
Collection of venous blood by venipuncture |
2,584 |
2,087 |
$139.71 |
| 85610 |
|
44 |
42 |
$88.08 |
| 82947 |
|
23 |
12 |
$3.14 |
| A9270 |
Non-covered item or service |
4,737 |
3,140 |
$0.83 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
43 |
41 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
27 |
27 |
$0.00 |