| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
17 |
$10K |
| 80053 |
Comprehensive metabolic panel |
51 |
48 |
$325.84 |
| 85027 |
|
80 |
69 |
$168.33 |
| 81001 |
|
43 |
41 |
$61.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
81 |
78 |
$51.36 |
| 83690 |
|
12 |
12 |
$40.53 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
85 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$0.00 |