| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,666 |
1,446 |
$261K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
436 |
407 |
$67K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
512 |
478 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
318 |
305 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
578 |
547 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
383 |
327 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
606 |
500 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
424 |
321 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
48 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
123 |
106 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,530 |
1,235 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,485 |
1,199 |
$3K |
| 87276 |
|
541 |
517 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
85 |
76 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
143 |
106 |
$2K |
| 87275 |
|
545 |
518 |
$2K |
| 87430 |
|
170 |
166 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
718 |
512 |
$1K |
| 84484 |
|
401 |
316 |
$851.94 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
13 |
$706.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
299 |
255 |
$696.61 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
236 |
215 |
$582.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
245 |
191 |
$502.87 |
| 81003 |
|
473 |
417 |
$266.11 |
| 81025 |
|
52 |
50 |
$159.31 |
| 81001 |
|
129 |
117 |
$157.64 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
366 |
197 |
$90.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
42 |
$85.62 |
| 87280 |
|
13 |
13 |
$67.80 |
| 85027 |
|
20 |
19 |
$29.33 |
| 83880 |
|
15 |
13 |
$29.05 |
| 83735 |
|
39 |
30 |
$13.86 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
58 |
42 |
$8.47 |
| 81015 |
|
304 |
260 |
$2.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
301 |
267 |
$0.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
127 |
99 |
$0.00 |