| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,289 |
2,851 |
$204K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
777 |
613 |
$99K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,365 |
1,168 |
$81K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
668 |
582 |
$48K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
185 |
168 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
220 |
198 |
$16K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
130 |
119 |
$14K |
| 80047 |
|
1,881 |
1,547 |
$13K |
| 85027 |
|
1,899 |
1,562 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
82 |
74 |
$7K |
| 82150 |
|
823 |
698 |
$3K |
| 82977 |
|
823 |
698 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
186 |
164 |
$3K |
| 84484 |
|
398 |
297 |
$3K |
| 84460 |
|
779 |
659 |
$3K |
| 84075 |
|
779 |
659 |
$3K |
| 84450 |
|
779 |
659 |
$3K |
| 82040 |
|
776 |
656 |
$2K |
| 82247 |
|
779 |
659 |
$2K |
| 84155 |
|
774 |
654 |
$2K |
| 81025 |
|
265 |
230 |
$2K |
| 81003 |
|
1,022 |
881 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
25 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,056 |
857 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
657 |
537 |
$283.46 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
37 |
29 |
$151.29 |
| 71046 |
Radiologic examination, chest; 2 views |
253 |
223 |
$94.42 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
900 |
760 |
$92.65 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,130 |
958 |
$33.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
249 |
195 |
$21.36 |
| 71045 |
Radiologic examination, chest; single view |
222 |
199 |
$14.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
866 |
652 |
$6.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
411 |
331 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
16 |
12 |
$0.00 |