| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
795 |
699 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
103 |
100 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
201 |
189 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
179 |
173 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
216 |
196 |
$7K |
| 99199 |
Unlisted special service, procedure or report |
165 |
142 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
191 |
175 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
301 |
284 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
61 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
82 |
74 |
$4K |
| Z7502 |
|
81 |
77 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
237 |
219 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
69 |
65 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$2K |
| 80053 |
Comprehensive metabolic panel |
317 |
293 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
109 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
411 |
372 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34 |
34 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
42 |
39 |
$2K |
| 88272 |
|
157 |
149 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
46 |
43 |
$2K |
| 83880 |
|
55 |
50 |
$1K |
| 84484 |
|
107 |
103 |
$750.03 |
| 83690 |
|
108 |
100 |
$478.44 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
73 |
69 |
$426.98 |
| 81001 |
|
191 |
170 |
$411.96 |
| 83605 |
|
31 |
30 |
$181.91 |
| 94760 |
|
52 |
52 |
$168.45 |
| 82550 |
|
26 |
25 |
$131.93 |
| 85730 |
|
29 |
29 |
$128.85 |
| 82553 |
|
13 |
13 |
$122.63 |
| 84702 |
|
28 |
24 |
$102.74 |
| 85610 |
|
30 |
30 |
$87.66 |
| 81025 |
|
14 |
13 |
$70.51 |
| 36592 |
|
16 |
16 |
$42.50 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
30 |
24 |
$23.21 |
| 80320 |
|
13 |
13 |
$15.70 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
122 |
$6.00 |
| 0272 |
|
43 |
41 |
$0.00 |