| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
662 |
626 |
$95K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
275 |
245 |
$59K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27 |
25 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
25 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
35 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
47 |
41 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
14 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
33 |
24 |
$0.00 |
| 81003 |
|
29 |
27 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
26 |
$0.00 |