| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,037 |
3,331 |
$82K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,222 |
2,512 |
$67K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,857 |
1,410 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,282 |
915 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
141 |
104 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,629 |
1,321 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,182 |
958 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
535 |
474 |
$7K |
| 80061 |
Lipid panel |
293 |
287 |
$4K |
| 81001 |
|
913 |
726 |
$2K |
| 80050 |
General health panel |
28 |
27 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
93 |
58 |
$1K |
| 87070 |
|
79 |
71 |
$747.88 |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
93 |
$721.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
79 |
39 |
$512.24 |
| 84439 |
|
58 |
57 |
$504.50 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
111 |
90 |
$496.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
28 |
$483.34 |
| 85027 |
|
159 |
128 |
$434.97 |
| 81025 |
|
104 |
88 |
$254.61 |
| 82553 |
|
47 |
39 |
$238.14 |
| 84466 |
|
17 |
13 |
$188.20 |
| 84484 |
|
49 |
40 |
$157.22 |
| 82550 |
|
47 |
39 |
$134.40 |
| 82728 |
|
17 |
13 |
$112.10 |
| 83540 |
|
17 |
13 |
$77.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,473 |
1,040 |
$73.41 |
| 83735 |
|
33 |
25 |
$69.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
27 |
$14.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
56 |
51 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
85 |
83 |
$0.00 |