| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
879 |
815 |
$226K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,182 |
1,117 |
$199K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
828 |
796 |
$181K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
26 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
311 |
258 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
466 |
385 |
$397.09 |
| 80053 |
Comprehensive metabolic panel |
1,304 |
1,144 |
$304.65 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
352 |
328 |
$25.35 |
| 83605 |
|
25 |
24 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
648 |
605 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
327 |
312 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,282 |
1,140 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
320 |
305 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
189 |
173 |
$0.00 |
| 83735 |
|
58 |
54 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
37 |
$0.00 |
| 84484 |
|
157 |
148 |
$0.00 |
| 82150 |
|
13 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$0.00 |
| 81003 |
|
774 |
725 |
$0.00 |
| 81025 |
|
28 |
26 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
212 |
187 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
15 |
12 |
$0.00 |
| 87400 |
|
218 |
211 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
13 |
$0.00 |