| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
541 |
401 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
80 |
60 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
172 |
132 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
171 |
133 |
$2K |
| 80053 |
Comprehensive metabolic panel |
243 |
174 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
176 |
128 |
$968.40 |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
30 |
$330.21 |
| 87430 |
|
18 |
15 |
$240.60 |
| 87400 |
|
59 |
42 |
$230.01 |
| 81003 |
|
113 |
78 |
$167.79 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
14 |
$102.20 |
| 84484 |
|
15 |
13 |
$56.15 |
| 85027 |
|
12 |
12 |
$48.33 |
| 71045 |
Radiologic examination, chest; single view |
14 |
12 |
$46.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
142 |
108 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
356 |
283 |
$0.00 |