| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,163 |
1,050 |
$147K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,461 |
1,335 |
$138K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
966 |
874 |
$80K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
186 |
123 |
$38K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
49 |
36 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
55 |
40 |
$8K |
| 80053 |
Comprehensive metabolic panel |
83 |
59 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
27 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
109 |
98 |
$670.72 |