| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,939 |
2,634 |
$194K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
923 |
768 |
$180K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,269 |
2,142 |
$97K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,254 |
1,174 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,278 |
1,072 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,247 |
1,730 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,573 |
1,935 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
450 |
413 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
75 |
70 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
538 |
438 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
219 |
173 |
$2K |
| 84703 |
|
217 |
181 |
$1K |
| 81003 |
|
423 |
372 |
$1K |
| 81001 |
|
483 |
420 |
$1K |
| 87280 |
|
40 |
39 |
$716.60 |
| 84484 |
|
134 |
82 |
$696.54 |
| 82553 |
|
52 |
38 |
$516.35 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
12 |
$430.92 |
| 82550 |
|
58 |
38 |
$316.75 |
| 85610 |
|
66 |
52 |
$205.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$146.52 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$145.26 |
| 85730 |
|
65 |
51 |
$100.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$98.80 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
131 |
51 |
$90.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
69 |
$59.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
51 |
37 |
$41.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$9.62 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
198 |
163 |
$7.48 |
| 36415 |
Collection of venous blood by venipuncture |
2,483 |
1,971 |
$7.38 |
| J2704 |
Injection, propofol, 10 mg |
154 |
123 |
$1.30 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
170 |
124 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
28 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
54 |
37 |
$0.00 |