| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,615 |
2,292 |
$256K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
144 |
140 |
$26K |
| S9484 |
Crisis intervention mental health services, per hour |
25 |
13 |
$7K |
| H2012 |
Behavioral health day treatment, per hour |
52 |
13 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
32 |
26 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
310 |
118 |
$670.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
439 |
312 |
$394.88 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
85 |
$322.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$77.67 |