| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
53 |
51 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18 |
18 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26 |
26 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$980.70 |
| 80053 |
Comprehensive metabolic panel |
19 |
19 |
$324.83 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$313.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
37 |
$234.67 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$222.61 |
| 81001 |
|
15 |
14 |
$87.48 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$61.92 |