| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
74 |
58 |
$1K |
| 80053 |
Comprehensive metabolic panel |
51 |
43 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46 |
35 |
$536.00 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$377.06 |
| 81002 |
|
18 |
17 |
$254.54 |
| 85027 |
|
153 |
76 |
$149.73 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
14 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
22 |
$0.00 |