| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
167 |
157 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
27 |
$3K |
| J3490 |
Unclassified drugs |
75 |
54 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32 |
31 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
16 |
$1K |
| 0450 |
Emergency room services |
35 |
33 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$920.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
19 |
$897.62 |
| 80053 |
Comprehensive metabolic panel |
61 |
58 |
$792.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
62 |
$623.70 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
16 |
$545.02 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
31 |
16 |
$329.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
23 |
22 |
$328.01 |
| 84484 |
|
27 |
24 |
$320.22 |
| 71045 |
Radiologic examination, chest; single view |
16 |
16 |
$272.16 |
| 83690 |
|
24 |
22 |
$204.24 |
| 81001 |
|
37 |
34 |
$143.56 |
| 82947 |
|
20 |
17 |
$110.88 |
| 81025 |
|
16 |
15 |
$78.40 |