| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
295 |
250 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
216 |
158 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
74 |
51 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
124 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
148 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
166 |
149 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
94 |
83 |
$547.11 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$487.55 |
| 87081 |
|
18 |
17 |
$274.01 |
| 81003 |
|
21 |
20 |
$38.73 |
| 85610 |
|
19 |
13 |
$19.51 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
114 |
$5.57 |