| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
367 |
359 |
$57K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
319 |
312 |
$46K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
189 |
186 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
676 |
672 |
$31K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
67 |
67 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
345 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
29 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
37 |
37 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
384 |
376 |
$1K |
| 87634 |
|
158 |
152 |
$747.96 |
| 81025 |
|
228 |
226 |
$0.00 |
| 80076 |
|
146 |
137 |
$0.00 |
| 81003 |
|
355 |
346 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
95 |
90 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
128 |
115 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
13 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
172 |
165 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$0.00 |
| 80047 |
|
422 |
399 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
422 |
401 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
166 |
164 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
158 |
158 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
63 |
56 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
99 |
97 |
$0.00 |
| 84484 |
|
31 |
26 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
13 |
$0.00 |