| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,370 |
593 |
$122K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
536 |
239 |
$38K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
54 |
28 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27 |
19 |
$804.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
714 |
328 |
$696.58 |
| 71046 |
Radiologic examination, chest; 2 views |
382 |
148 |
$651.56 |
| J3490 |
Unclassified drugs |
130 |
41 |
$225.00 |
| 87400 |
|
559 |
197 |
$213.28 |
| 87070 |
|
550 |
220 |
$206.22 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
124 |
$160.00 |
| 80053 |
Comprehensive metabolic panel |
212 |
97 |
$160.00 |
| 87430 |
|
824 |
327 |
$105.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
341 |
153 |
$95.78 |
| 84703 |
|
97 |
43 |
$40.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
61 |
36 |
$40.00 |
| 87081 |
|
130 |
57 |
$40.00 |
| 71045 |
Radiologic examination, chest; single view |
180 |
77 |
$26.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
145 |
79 |
$9.40 |
| 81001 |
|
154 |
82 |
$3.53 |
| 87420 |
|
38 |
12 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
192 |
91 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
389 |
192 |
$0.00 |
| 81003 |
|
70 |
30 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
356 |
174 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
302 |
148 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
54 |
28 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
193 |
76 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
35 |
12 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
38 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
81 |
51 |
$0.00 |