| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
557 |
354 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
76 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$996.46 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
66 |
$437.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$385.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$293.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$204.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$172.33 |