| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
469 |
453 |
$153K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
605 |
558 |
$38K |
| 99215 |
Prolong outpt/office vis |
349 |
323 |
$34K |
| 59025 |
Fetal non-stress test |
781 |
704 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
219 |
$15K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
15 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
87 |
78 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$538.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$457.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$410.52 |
| 3078F |
|
62 |
56 |
$0.24 |
| 3074F |
|
13 |
13 |
$0.01 |