| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,558 |
2,386 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,562 |
1,395 |
$48K |
| 80053 |
Comprehensive metabolic panel |
273 |
239 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
205 |
182 |
$595.54 |
| 87276 |
|
67 |
65 |
$533.80 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$484.00 |
| 87275 |
|
67 |
65 |
$425.00 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
25 |
$307.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
27 |
$262.72 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
23 |
14 |
$246.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$227.65 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25 |
13 |
$202.26 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
77 |
$182.86 |
| 80305 |
|
20 |
12 |
$97.44 |
| 81001 |
|
42 |
37 |
$61.49 |
| 87070 |
|
14 |
14 |
$43.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$37.80 |