| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
952 |
786 |
$51K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
778 |
236 |
$19K |
| 0450 |
Emergency room services |
333 |
306 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
33 |
31 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,672 |
1,248 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
454 |
129 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,504 |
1,081 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,337 |
1,676 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
27 |
25 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
25 |
$653.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
29 |
$252.31 |
| 80061 |
Lipid panel |
26 |
25 |
$147.73 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
42 |
$58.05 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
24 |
12 |
$16.54 |
| A4649 |
Surgical supply; miscellaneous |
25 |
13 |
$10.05 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
16 |
12 |
$2.25 |