| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
179 |
168 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
127 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
61 |
59 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
47 |
46 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
18 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
35 |
34 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
45 |
13 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19 |
18 |
$903.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
107 |
$889.11 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
65 |
64 |
$462.34 |
| 80053 |
Comprehensive metabolic panel |
39 |
37 |
$392.07 |
| 84600 |
|
18 |
18 |
$298.44 |
| 81025 |
|
31 |
31 |
$202.12 |
| 84484 |
|
19 |
18 |
$192.66 |
| 83690 |
|
13 |
12 |
$92.30 |
| 82947 |
|
18 |
16 |
$75.41 |
| 80076 |
|
14 |
14 |
$71.18 |
| 81001 |
|
15 |
15 |
$49.05 |
| 81003 |
|
12 |
12 |
$27.72 |