| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
20 |
17 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26 |
24 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
20 |
18 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18 |
18 |
$0.00 |
| 83690 |
|
12 |
12 |
$0.00 |
| 84484 |
|
15 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
20 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17 |
16 |
$0.00 |
| A9270 |
Non-covered item or service |
40 |
26 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
26 |
25 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
31 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
13 |
$0.00 |