| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,005 |
944 |
$125K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
357 |
342 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
113 |
105 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,284 |
2,610 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
25 |
$7K |
| 80053 |
Comprehensive metabolic panel |
460 |
427 |
$6K |
| 0002A |
|
49 |
43 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
16 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$1K |
| 0001A |
|
34 |
33 |
$1K |
| 72100 |
|
13 |
13 |
$567.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
87 |
79 |
$36.00 |
| J3490 |
Unclassified drugs |
1,514 |
741 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
81 |
74 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
57 |
52 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
85 |
69 |
$0.00 |
| 83690 |
|
29 |
26 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
49 |
28 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
87 |
58 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
15 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
238 |
197 |
$0.00 |
| 0753T |
|
27 |
14 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
105 |
73 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
67 |
65 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
12 |
$0.00 |