| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
389 |
364 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
395 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
116 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
992 |
891 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
69 |
65 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
73 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
65 |
64 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$873.96 |
| 80053 |
Comprehensive metabolic panel |
284 |
252 |
$868.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
263 |
233 |
$644.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
169 |
150 |
$557.96 |
| 80061 |
Lipid panel |
97 |
84 |
$370.65 |
| 71045 |
Radiologic examination, chest; single view |
78 |
71 |
$272.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
102 |
88 |
$268.62 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$190.35 |
| 0012A |
|
22 |
22 |
$0.00 |
| 0011A |
|
27 |
27 |
$0.00 |