| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,324 |
454 |
$480K |
| 99233 |
Prolong inpt eval add15 m |
823 |
538 |
$128K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
58 |
18 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
16 |
13 |
$5K |
| 99292 |
|
69 |
24 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
425 |
194 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
499 |
257 |
$733.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
155 |
129 |
$45.80 |
| 36415 |
Collection of venous blood by venipuncture |
246 |
121 |
$0.00 |