| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,620 |
1,526 |
$913K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
104 |
97 |
$136K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,043 |
993 |
$88K |
| 59025 |
Fetal non-stress test |
1,218 |
1,072 |
$26K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
204 |
173 |
$14K |
| 81001 |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
27 |
$776.98 |