| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,006 |
931 |
$66K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,374 |
1,303 |
$41K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
55 |
45 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
106 |
45 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
39 |
38 |
$880.74 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
153 |
130 |
$770.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$20.67 |
| 90461 |
|
15 |
14 |
$0.00 |