| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,270 |
2,107 |
$389K |
| 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 |
1,497 |
1,352 |
$149K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
259 |
232 |
$92K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
122 |
111 |
$18K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
67 |
50 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
91 |
$9K |
| 80053 |
Comprehensive metabolic panel |
687 |
621 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
38 |
37 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
606 |
534 |
$815.41 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
266 |
242 |
$770.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,413 |
1,290 |
$179.59 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
25 |
$69.14 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
65 |
52 |
$29.61 |
| 83690 |
|
25 |
25 |
$19.94 |
| 85027 |
|
111 |
102 |
$11.53 |
| 71045 |
Radiologic examination, chest; single view |
15 |
12 |
$6.57 |
| J3490 |
Unclassified drugs |
3,548 |
1,645 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
16 |
13 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
43 |
37 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
14 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
27 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$0.00 |