| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
53 |
50 |
$392.23 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
92 |
89 |
$318.84 |
| 80053 |
Comprehensive metabolic panel |
66 |
59 |
$124.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68 |
60 |
$90.13 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
48 |
47 |
$68.35 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
22 |
19 |
$63.18 |
| 83605 |
|
13 |
13 |
$55.74 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
28 |
17 |
$54.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28 |
24 |
$52.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$47.54 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
14 |
$36.26 |
| 83880 |
|
15 |
13 |
$30.15 |
| 84484 |
|
23 |
18 |
$18.60 |
| 83690 |
|
18 |
17 |
$12.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$12.41 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
21 |
19 |
$9.14 |
| 80305 |
|
16 |
15 |
$7.56 |
| 85610 |
|
15 |
13 |
$5.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
18 |
$3.85 |
| 81003 |
|
18 |
17 |
$3.05 |
| 81025 |
|
12 |
12 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
34 |
$0.00 |