| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,151 |
1,893 |
$194K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,544 |
2,073 |
$129K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
743 |
692 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
900 |
800 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
2,720 |
2,169 |
$43K |
| 80053 |
Comprehensive metabolic panel |
2,650 |
2,163 |
$42K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
372 |
315 |
$30K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
94 |
81 |
$16K |
| 81000 |
|
927 |
801 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
725 |
689 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
162 |
136 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
88 |
85 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
115 |
106 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
55 |
54 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
171 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
451 |
380 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
55 |
37 |
$721.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
111 |
$585.21 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
130 |
109 |
$245.05 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
60 |
49 |
$185.67 |
| 87430 |
|
17 |
14 |
$135.52 |
| 84484 |
|
91 |
64 |
$37.20 |
| 83690 |
|
93 |
80 |
$34.39 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
169 |
146 |
$18.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
41 |
36 |
$0.40 |
| 87420 |
|
67 |
67 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
12 |
$0.00 |
| 85007 |
|
14 |
13 |
$0.00 |