| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,450 |
1,395 |
$915K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
108 |
104 |
$119K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,072 |
1,015 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
596 |
590 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
662 |
$29K |
| 59025 |
Fetal non-stress test |
976 |
880 |
$22K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
33 |
29 |
$11K |
| 81001 |
|
28 |
27 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
94 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$3K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
25 |
25 |
$236.21 |