| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
874 |
871 |
$122K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
164 |
162 |
$33K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
103 |
102 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
101 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
287 |
280 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
110 |
108 |
$2K |
| 80053 |
Comprehensive metabolic panel |
84 |
83 |
$984.64 |
| 83655 |
|
31 |
30 |
$364.92 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
129 |
$301.48 |
| 85018 |
|
58 |
58 |
$138.68 |
| 85014 |
|
58 |
58 |
$138.68 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$94.80 |
| 81001 |
|
15 |
15 |
$48.68 |