| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,135 |
776 |
$107K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
284 |
209 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
41 |
30 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
57 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 80053 |
Comprehensive metabolic panel |
98 |
97 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
119 |
118 |
$940.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
62 |
$823.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
43 |
$544.40 |
| 87400 |
|
44 |
43 |
$486.80 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
201 |
$418.57 |