| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
578 |
507 |
$121K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
304 |
237 |
$73K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
137 |
108 |
$62K |
| 80053 |
Comprehensive metabolic panel |
503 |
432 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
649 |
539 |
$7K |
| 86140 |
|
217 |
174 |
$2K |
| 83735 |
|
78 |
61 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
402 |
307 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
14 |
$307.80 |
| 84100 |
|
35 |
24 |
$175.14 |
| 85610 |
|
33 |
26 |
$86.70 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
13 |
$86.32 |
| 85730 |
|
18 |
12 |
$49.86 |
| 81001 |
|
13 |
12 |
$32.40 |
| A9270 |
Non-covered item or service |
228 |
91 |
$0.00 |