| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,810 |
1,376 |
$127K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
704 |
540 |
$58K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
351 |
267 |
$22K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
364 |
279 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
123 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
77 |
68 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$3K |
| 80053 |
Comprehensive metabolic panel |
504 |
393 |
$2K |
| 85027 |
|
642 |
491 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
109 |
84 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
145 |
115 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
62 |
48 |
$840.55 |
| 87430 |
|
158 |
132 |
$654.40 |
| 81001 |
|
411 |
351 |
$460.08 |
| 71045 |
Radiologic examination, chest; single view |
80 |
59 |
$424.68 |
| 81025 |
|
161 |
143 |
$401.76 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
319 |
241 |
$398.71 |
| 83690 |
|
172 |
133 |
$357.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
59 |
$253.58 |
| 87070 |
|
97 |
78 |
$252.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
427 |
245 |
$202.00 |
| 84484 |
|
83 |
52 |
$181.17 |
| 84703 |
|
59 |
43 |
$153.90 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
20 |
13 |
$118.62 |
| 87420 |
|
26 |
17 |
$73.62 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
95 |
78 |
$19.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
28 |
$11.61 |
| J7050 |
Infusion, normal saline solution, 250 cc |
14 |
14 |
$5.36 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
29 |
28 |
$0.68 |