| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,542 |
1,434 |
$1.79M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
197 |
186 |
$247K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
337 |
304 |
$160K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
75 |
64 |
$26K |
| 81001 |
|
74 |
71 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
224 |
217 |
$7K |
| 87210 |
|
15 |
14 |
$4K |
| 59025 |
Fetal non-stress test |
114 |
95 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
29 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$333.75 |