| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19,574 |
12,973 |
$216K |
| 80053 |
Comprehensive metabolic panel |
380 |
316 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
29 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
375 |
127 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
900 |
682 |
$534.09 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$411.92 |
| 36416 |
|
246 |
220 |
$343.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
233 |
205 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
19 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
73 |
40 |
$0.00 |
| 84484 |
|
13 |
13 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
27 |
$0.00 |
| 80305 |
|
169 |
26 |
$0.00 |