| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,533 |
1,257 |
$321K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,855 |
1,716 |
$319K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
295 |
221 |
$81K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,498 |
1,322 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,062 |
978 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
81 |
76 |
$4K |
| J3490 |
Unclassified drugs |
2,217 |
1,616 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
48 |
43 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
162 |
156 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
57 |
54 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
168 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
172 |
104 |
$2K |
| 81001 |
|
679 |
637 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
930 |
838 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$779.24 |
| 87081 |
|
80 |
79 |
$536.88 |
| 83735 |
|
118 |
112 |
$501.00 |
| 84484 |
|
115 |
102 |
$490.40 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$366.72 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$366.72 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
12 |
$206.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$170.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
12 |
$161.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$160.80 |
| 83690 |
|
28 |
28 |
$128.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$10.25 |