| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
436 |
353 |
$46K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
57 |
53 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
115 |
78 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
102 |
75 |
$975.74 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$864.29 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
12 |
$756.80 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
13 |
$653.54 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
34 |
26 |
$176.87 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$112.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$106.03 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
115 |
84 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
12 |
$0.00 |