| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
744 |
628 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
416 |
150 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
200 |
152 |
$3K |
| 80053 |
Comprehensive metabolic panel |
2,458 |
2,056 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,480 |
2,054 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,570 |
2,873 |
$900.41 |
| 81001 |
|
799 |
697 |
$560.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
31 |
$547.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
367 |
339 |
$525.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
77 |
$489.61 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
49 |
37 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
46 |
27 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
61 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
27 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |
| 80061 |
Lipid panel |
93 |
88 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$0.00 |