| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$867.26 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
39 |
37 |
$857.28 |
| 36415 |
Collection of venous blood by venipuncture |
1,724 |
1,449 |
$576.17 |
| 80053 |
Comprehensive metabolic panel |
1,415 |
1,274 |
$541.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
949 |
835 |
$182.04 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
49 |
$134.43 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
13 |
$71.30 |
| 85027 |
|
376 |
335 |
$40.59 |
| 81001 |
|
449 |
400 |
$30.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
215 |
185 |
$11.48 |
| 82570 |
|
28 |
26 |
$10.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$9.65 |
| 83735 |
|
14 |
12 |
$6.57 |
| 84100 |
|
44 |
36 |
$4.65 |
| 84484 |
|
22 |
12 |
$0.00 |
| 0270 |
|
347 |
199 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
30 |
27 |
$0.00 |
| J3490 |
Unclassified drugs |
34 |
25 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
60 |
55 |
$0.00 |
| 0450 |
Emergency room services |
269 |
221 |
$0.00 |
| 99499 |
|
35 |
30 |
$0.00 |
| 0760 |
|
26 |
25 |
$0.00 |