| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,142 |
5,791 |
$1.13M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,031 |
2,865 |
$718K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,261 |
1,197 |
$231K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
311 |
302 |
$185K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,175 |
1,129 |
$98K |
| 70450 |
Computed tomography, head or brain; without contrast material |
143 |
141 |
$35K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,357 |
1,235 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
27 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
203 |
193 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
26 |
26 |
$483.00 |
| 84484 |
|
602 |
503 |
$268.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,010 |
1,961 |
$218.25 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,379 |
1,341 |
$175.00 |
| 71046 |
Radiologic examination, chest; 2 views |
617 |
598 |
$162.78 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,852 |
1,732 |
$111.71 |
| 87807 |
|
375 |
366 |
$91.03 |
| 71045 |
Radiologic examination, chest; single view |
616 |
582 |
$79.41 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
863 |
852 |
$28.07 |
| 81003 |
|
2,808 |
2,636 |
$4.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,476 |
1,369 |
$0.38 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
324 |
309 |
$0.00 |
| 87077 |
|
69 |
67 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
26 |
25 |
$0.00 |
| 87088 |
|
531 |
508 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
29 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,477 |
1,357 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,215 |
2,931 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,452 |
3,143 |
$0.00 |
| 82150 |
|
391 |
374 |
$0.00 |
| 83605 |
|
27 |
25 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
55 |
54 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
69 |
56 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
764 |
717 |
$0.00 |
| 87430 |
|
1,366 |
1,329 |
$0.00 |
| 85379 |
|
84 |
80 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
26 |
$0.00 |
| 87070 |
|
516 |
495 |
$0.00 |
| 83690 |
|
13 |
13 |
$0.00 |
| 87205 |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 81025 |
|
1,599 |
1,516 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,267 |
1,172 |
$0.00 |
| 87186 |
|
69 |
64 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,067 |
978 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |
| 94664 |
|
90 |
81 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
593 |
571 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
15 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$0.00 |
| 73630 |
|
24 |
24 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
24 |
12 |
$0.00 |