| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
482 |
455 |
$35K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
209 |
200 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
38 |
38 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
53 |
52 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
33 |
12 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
54 |
50 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
24 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
12 |
$301.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
723 |
686 |
$238.92 |
| 80053 |
Comprehensive metabolic panel |
484 |
462 |
$217.87 |
| 36415 |
Collection of venous blood by venipuncture |
486 |
463 |
$142.74 |
| 83690 |
|
26 |
24 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
103 |
91 |
$0.00 |