| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,561 |
1,199 |
$93K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
929 |
635 |
$81K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
683 |
515 |
$53K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
959 |
758 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
273 |
208 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,274 |
821 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
206 |
161 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
446 |
337 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,233 |
803 |
$5K |
| 87276 |
|
897 |
714 |
$4K |
| 84484 |
|
427 |
280 |
$4K |
| 87275 |
|
900 |
715 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
378 |
278 |
$3K |
| 87430 |
|
609 |
490 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
70 |
57 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
76 |
57 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
398 |
290 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
85 |
67 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
24 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
444 |
336 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
45 |
$1K |
| 83735 |
|
137 |
74 |
$511.23 |
| 81001 |
|
455 |
339 |
$369.50 |
| 87280 |
|
53 |
45 |
$237.65 |
| 81015 |
|
100 |
91 |
$218.93 |
| 80306 |
|
34 |
26 |
$165.36 |
| 81025 |
|
59 |
48 |
$148.46 |
| 83690 |
|
37 |
27 |
$138.00 |
| 81003 |
|
211 |
162 |
$122.39 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
18 |
13 |
$74.51 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
18 |
$62.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
22 |
13 |
$7.05 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
222 |
97 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
339 |
246 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
19 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
16 |
$0.00 |