| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
324 |
238 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
179 |
127 |
$48K |
| 87428 |
|
80 |
68 |
$847.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
44 |
$381.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
29 |
$121.20 |
| 80053 |
Comprehensive metabolic panel |
17 |
13 |
$91.86 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
28 |
$46.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$45.01 |
| A4657 |
Syringe, with or without needle, each |
108 |
53 |
$33.26 |
| A4215 |
Needle, sterile, any size, each |
19 |
13 |
$27.78 |