| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,112 |
3,601 |
$673K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,505 |
1,359 |
$249K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,152 |
1,007 |
$184K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
186 |
179 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
29 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
39 |
$9K |
| 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 |
379 |
362 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,361 |
1,219 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
517 |
501 |
$926.33 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
458 |
424 |
$594.87 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,350 |
1,250 |
$551.20 |
| 85027 |
|
1,621 |
1,440 |
$499.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,133 |
1,015 |
$430.32 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
534 |
490 |
$367.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
695 |
655 |
$362.17 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
820 |
743 |
$336.37 |
| 87070 |
|
204 |
196 |
$67.46 |
| 81025 |
|
325 |
288 |
$49.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
388 |
363 |
$47.99 |
| 81001 |
|
604 |
542 |
$42.88 |
| 84703 |
|
130 |
125 |
$12.17 |
| 83690 |
|
228 |
217 |
$10.76 |
| 81003 |
|
260 |
244 |
$7.69 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
145 |
130 |
$7.40 |
| 84484 |
|
76 |
70 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
89 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
113 |
106 |
$0.00 |
| 87088 |
|
14 |
12 |
$0.00 |
| 87807 |
|
90 |
88 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
158 |
77 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$0.00 |