| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,644 |
3,856 |
$771K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
998 |
808 |
$161K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
372 |
267 |
$49K |
| 80053 |
Comprehensive metabolic panel |
2,729 |
2,079 |
$39K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
41 |
26 |
$9K |
| 0012A |
|
107 |
105 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
64 |
59 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
6,163 |
4,664 |
$6K |
| 0011A |
|
119 |
117 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
12 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,181 |
3,153 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
100 |
74 |
$2K |
| 84484 |
|
25 |
13 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
196 |
128 |
$659.31 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$217.92 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
975 |
718 |
$169.23 |
| 80061 |
Lipid panel |
28 |
27 |
$146.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
149 |
$58.50 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
426 |
301 |
$35.57 |
| 87428 |
|
34 |
30 |
$30.94 |
| 83605 |
|
80 |
62 |
$0.00 |
| 81001 |
|
271 |
214 |
$0.00 |
| 83690 |
|
65 |
45 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
214 |
154 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
41 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
18 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
24 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
53 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
106 |
70 |
$0.00 |
| 81025 |
|
32 |
29 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
20 |
13 |
$0.00 |