| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
5,048 |
4,355 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,401 |
1,178 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
92 |
88 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
877 |
739 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
686 |
604 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,859 |
1,642 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
476 |
452 |
$2K |
| 85027 |
|
1,547 |
1,396 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25 |
24 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
177 |
150 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
339 |
318 |
$1K |
| 80076 |
|
680 |
620 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
134 |
106 |
$983.32 |
| 84484 |
|
323 |
281 |
$900.31 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
39 |
24 |
$722.00 |
| 81003 |
|
1,141 |
1,049 |
$668.59 |
| 81025 |
|
569 |
539 |
$662.62 |
| 83690 |
|
356 |
318 |
$563.30 |
| 82948 |
|
431 |
337 |
$548.72 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
94 |
76 |
$502.57 |
| 81001 |
|
435 |
407 |
$270.41 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
82 |
73 |
$157.19 |
| 85610 |
|
115 |
109 |
$100.14 |
| 85730 |
|
59 |
56 |
$91.11 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
54 |
41 |
$84.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
65 |
$41.17 |
| 82962 |
|
54 |
49 |
$22.96 |
| J3490 |
Unclassified drugs |
515 |
307 |
$21.01 |
| A4649 |
Surgical supply; miscellaneous |
288 |
249 |
$11.44 |
| 86901 |
|
13 |
13 |
$9.84 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
29 |
26 |
$9.60 |
| A9270 |
Non-covered item or service |
901 |
657 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
227 |
216 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
526 |
464 |
$0.00 |
| 0270 |
|
184 |
162 |
$0.00 |
| 0250 |
|
239 |
193 |
$0.00 |
| 0637 |
|
761 |
619 |
$0.00 |