| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
568 |
526 |
$31K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
339 |
315 |
$14K |
| 85027 |
|
1,016 |
851 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
270 |
239 |
$7K |
| 80053 |
Comprehensive metabolic panel |
502 |
451 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
114 |
106 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
121 |
101 |
$1K |
| 81001 |
|
165 |
155 |
$774.07 |
| 71045 |
Radiologic examination, chest; single view |
53 |
50 |
$556.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$282.59 |
| 99070 |
|
23 |
14 |
$266.00 |
| 80076 |
|
28 |
26 |
$236.63 |
| 83690 |
|
24 |
24 |
$206.59 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
24 |
$143.74 |
| J3490 |
Unclassified drugs |
15 |
12 |
$138.35 |
| 84484 |
|
13 |
13 |
$122.62 |
| 85610 |
|
12 |
12 |
$45.09 |