| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,762 |
2,751 |
$514K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
596 |
591 |
$168K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
81 |
80 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
120 |
120 |
$19K |
| 87428 |
|
247 |
246 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
24 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
381 |
380 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
130 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
26 |
26 |
$1K |
| 80051 |
|
201 |
200 |
$1K |
| 82550 |
|
202 |
201 |
$1K |
| 82565 |
|
201 |
200 |
$859.95 |
| 82947 |
|
215 |
213 |
$710.50 |
| 84520 |
|
201 |
200 |
$663.39 |
| 82977 |
|
103 |
102 |
$608.00 |
| 82150 |
|
103 |
102 |
$547.20 |
| 81003 |
|
253 |
253 |
$465.89 |
| 84460 |
|
100 |
99 |
$438.03 |
| 84075 |
|
100 |
99 |
$428.73 |
| 84450 |
|
100 |
99 |
$428.73 |
| 82247 |
|
100 |
99 |
$415.71 |
| 82040 |
|
100 |
99 |
$409.20 |
| 87400 |
|
13 |
13 |
$326.82 |
| 84155 |
|
100 |
99 |
$303.18 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$127.46 |
| 81025 |
|
14 |
14 |
$99.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$3.96 |