| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,145 |
2,849 |
$3.09M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,048 |
971 |
$613K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
75 |
70 |
$138K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
15 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
82 |
72 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$800.00 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
41 |
$551.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
86 |
84 |
$102.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
309 |
275 |
$6.75 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
127 |
109 |
$3.56 |
| 80051 |
|
229 |
205 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
63 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
78 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
13 |
$0.00 |
| 83605 |
|
60 |
52 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$0.00 |
| 82947 |
|
340 |
286 |
$0.00 |
| 82565 |
|
244 |
218 |
$0.00 |
| 84520 |
|
244 |
218 |
$0.00 |
| 96160 |
|
204 |
194 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |