| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
122 |
109 |
$3K |
| 80053 |
Comprehensive metabolic panel |
45 |
41 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
61 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
23 |
19 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$788.27 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58 |
53 |
$294.92 |
| 81001 |
|
34 |
32 |
$255.32 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
31 |
$68.14 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
20 |
20 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21 |
17 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
64 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
51 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$0.00 |
| 83690 |
|
12 |
12 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
20 |
19 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
26 |
22 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$0.00 |