| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
115 |
97 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
67 |
61 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
50 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
16 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
36 |
$817.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
12 |
$489.58 |
| 80053 |
Comprehensive metabolic panel |
60 |
51 |
$370.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
66 |
$368.97 |
| 36415 |
Collection of venous blood by venipuncture |
246 |
183 |
$349.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$228.48 |
| 87070 |
|
15 |
14 |
$140.64 |
| 83735 |
|
17 |
12 |
$35.60 |