| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
64 |
60 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
31 |
$287.99 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$261.17 |
| 80053 |
Comprehensive metabolic panel |
24 |
24 |
$216.58 |