| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,488 |
2,355 |
$535K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,779 |
1,709 |
$303K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
382 |
371 |
$190K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
866 |
832 |
$115K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
799 |
742 |
$65K |
| 70450 |
Computed tomography, head or brain; without contrast material |
207 |
200 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
85 |
82 |
$17K |
| 80053 |
Comprehensive metabolic panel |
2,390 |
2,108 |
$750.92 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,208 |
1,135 |
$606.84 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
798 |
763 |
$602.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,371 |
2,142 |
$432.61 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,130 |
1,007 |
$193.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
622 |
601 |
$150.65 |
| 71045 |
Radiologic examination, chest; single view |
302 |
295 |
$135.07 |
| 71046 |
Radiologic examination, chest; 2 views |
527 |
515 |
$117.94 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,003 |
887 |
$114.88 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
307 |
293 |
$79.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
274 |
$40.14 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,320 |
1,185 |
$36.26 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,544 |
1,402 |
$29.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
966 |
887 |
$26.01 |
| 81003 |
|
1,756 |
1,639 |
$21.58 |
| 84484 |
|
781 |
680 |
$16.52 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
2,708 |
1,893 |
$15.53 |
| 85610 |
|
397 |
370 |
$9.59 |
| 83690 |
|
558 |
520 |
$6.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
828 |
759 |
$3.14 |
| 81025 |
|
916 |
869 |
$2.00 |
| J3490 |
Unclassified drugs |
81 |
75 |
$1.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
173 |
169 |
$0.00 |
| 83735 |
|
615 |
572 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
420 |
402 |
$0.00 |
| 83605 |
|
87 |
71 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
98 |
94 |
$0.00 |
| 85379 |
|
163 |
150 |
$0.00 |
| 87428 |
|
123 |
111 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
70 |
$0.00 |
| 82550 |
|
16 |
15 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
56 |
50 |
$0.00 |
| 96376 |
|
49 |
41 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 80320 |
|
59 |
58 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
16 |
12 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
42 |
40 |
$0.00 |
| 93041 |
|
44 |
41 |
$0.00 |
| 80305 |
|
412 |
393 |
$0.00 |
| 84439 |
|
86 |
82 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
280 |
219 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
93 |
68 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
58 |
58 |
$0.00 |
| 84100 |
|
29 |
26 |
$0.00 |