| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
103 |
99 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
54 |
51 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16 |
16 |
$1K |
| 80053 |
Comprehensive metabolic panel |
60 |
53 |
$793.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
29 |
$649.75 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$531.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73 |
63 |
$374.65 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
23 |
19 |
$259.42 |
| 84484 |
|
19 |
15 |
$232.27 |
| 87400 |
|
15 |
15 |
$192.70 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$188.32 |
| 71045 |
Radiologic examination, chest; single view |
36 |
34 |
$172.26 |
| 84703 |
|
15 |
14 |
$171.45 |
| 81001 |
|
28 |
27 |
$111.20 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
41 |
$0.00 |