| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,003 |
1,941 |
$272K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,221 |
1,141 |
$243K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,221 |
1,165 |
$225K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
195 |
$53K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
609 |
599 |
$50K |
| 87428 |
|
1,240 |
1,203 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
683 |
633 |
$31K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
713 |
661 |
$25K |
| 80053 |
Comprehensive metabolic panel |
826 |
766 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,608 |
1,455 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
143 |
130 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
295 |
277 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
563 |
522 |
$15K |
| 80051 |
|
695 |
647 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
679 |
634 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
541 |
503 |
$10K |
| 84484 |
|
743 |
660 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
586 |
578 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
32 |
$6K |
| 82565 |
|
691 |
644 |
$6K |
| 82977 |
|
460 |
431 |
$6K |
| 81025 |
|
443 |
431 |
$6K |
| 82550 |
|
710 |
658 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
176 |
164 |
$5K |
| 83605 |
|
222 |
207 |
$4K |
| 82150 |
|
464 |
435 |
$4K |
| 84520 |
|
695 |
648 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
47 |
$2K |
| 81003 |
|
825 |
787 |
$2K |
| 82247 |
|
456 |
429 |
$2K |
| 84075 |
|
459 |
431 |
$2K |
| 87420 |
|
116 |
115 |
$2K |
| 84460 |
|
457 |
430 |
$2K |
| 84450 |
|
457 |
430 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
142 |
138 |
$2K |
| 82947 |
|
800 |
724 |
$2K |
| 82040 |
|
457 |
430 |
$2K |
| 83880 |
|
106 |
91 |
$2K |
| 80305 |
|
45 |
43 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
16 |
$1K |
| 82805 |
|
32 |
27 |
$1K |
| 84155 |
|
455 |
428 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
39 |
$1K |
| 87400 |
|
74 |
36 |
$895.83 |
| 73030 |
|
16 |
14 |
$753.52 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
131 |
126 |
$641.24 |
| 73130 |
|
12 |
12 |
$521.63 |
| 85379 |
|
64 |
61 |
$479.67 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
288 |
271 |
$222.09 |
| 85610 |
|
45 |
40 |
$196.77 |