| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
150 |
115 |
$494.33 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
109 |
78 |
$296.31 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
80 |
54 |
$106.46 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
17 |
13 |
$97.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
80 |
57 |
$15.51 |
| 81003 |
|
58 |
40 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
87 |
$0.00 |