| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
71 |
69 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37 |
34 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
47 |
44 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
53 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
21 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
21 |
21 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
21 |
$1K |
| 87400 |
|
54 |
32 |
$1K |
| 80053 |
Comprehensive metabolic panel |
35 |
31 |
$657.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$507.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$424.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$367.58 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$359.30 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$358.10 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
15 |
13 |
$338.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$325.06 |
| 87081 |
|
30 |
29 |
$308.34 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$300.90 |
| 81025 |
|
24 |
23 |
$262.46 |
| 81001 |
|
32 |
31 |
$252.59 |
| 80061 |
Lipid panel |
19 |
17 |
$199.49 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$118.91 |
| 90686 |
|
22 |
22 |
$0.00 |