| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,257 |
1,123 |
$134K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
365 |
322 |
$74K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,046 |
866 |
$66K |
| 80053 |
Comprehensive metabolic panel |
2,960 |
2,608 |
$48K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
552 |
523 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
419 |
374 |
$32K |
| 0002A |
|
68 |
63 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
178 |
124 |
$3K |
| 0001A |
|
46 |
41 |
$2K |
| 84484 |
|
20 |
14 |
$518.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,665 |
6,642 |
$488.59 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
979 |
863 |
$359.32 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
244 |
205 |
$325.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
695 |
524 |
$224.71 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,572 |
1,133 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
292 |
276 |
$0.00 |
| 0753T |
|
61 |
43 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
42 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
281 |
160 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
61 |
43 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
112 |
106 |
$0.00 |
| 84703 |
|
38 |
36 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| 83690 |
|
32 |
26 |
$0.00 |