| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
85 |
85 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
75 |
69 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
149 |
12 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
29 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
20 |
18 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
34 |
$2K |
| 86769 |
|
57 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$520.80 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
89 |
$453.17 |
| 86710 |
|
48 |
47 |
$414.80 |
| 80053 |
Comprehensive metabolic panel |
65 |
63 |
$213.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
63 |
$185.25 |
| 81003 |
|
39 |
39 |
$36.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
16 |
$0.00 |