| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
743 |
697 |
$104K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
287 |
267 |
$57K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
111 |
108 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
76 |
74 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
57 |
56 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
63 |
60 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
58 |
52 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$909.57 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
86 |
86 |
$893.22 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
20 |
15 |
$485.41 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
132 |
$32.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
475 |
422 |
$15.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
48 |
45 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
65 |
60 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
24 |
$0.00 |
| 84702 |
|
16 |
12 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
448 |
400 |
$0.00 |
| 84703 |
|
55 |
54 |
$0.00 |
| 83690 |
|
57 |
54 |
$0.00 |
| A9270 |
Non-covered item or service |
106 |
57 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
43 |
$0.00 |
| 81001 |
|
46 |
41 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |