| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,194 |
1,833 |
$130K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
958 |
732 |
$37K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
12 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
150 |
144 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
153 |
115 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38 |
27 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
875 |
673 |
$2K |
| 71250 |
|
20 |
14 |
$2K |
| 80053 |
Comprehensive metabolic panel |
596 |
452 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
61 |
49 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
31 |
$670.88 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
23 |
14 |
$585.75 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
37 |
32 |
$374.87 |
| 87400 |
|
114 |
94 |
$357.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
52 |
$343.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
12 |
$139.52 |
| J2704 |
Injection, propofol, 10 mg |
17 |
15 |
$121.74 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
35 |
31 |
$96.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
37 |
27 |
$66.30 |
| 86140 |
|
29 |
25 |
$38.02 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
34 |
$26.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
12 |
$25.69 |
| 81001 |
|
14 |
13 |
$11.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
52 |
$0.00 |