| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
213 |
187 |
$40K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
139 |
126 |
$23K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
299 |
77 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
343 |
90 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,057 |
872 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
62 |
57 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,214 |
963 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45 |
36 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,876 |
1,315 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
272 |
265 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
91 |
81 |
$746.65 |
| 80061 |
Lipid panel |
39 |
38 |
$314.38 |
| 90686 |
|
17 |
17 |
$291.21 |
| 85610 |
|
138 |
79 |
$203.43 |
| 81003 |
|
89 |
76 |
$176.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$92.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$88.51 |
| 81001 |
|
12 |
12 |
$59.12 |
| 90670 |
|
17 |
17 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
17 |
$0.00 |