| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,305 |
691 |
$141K |
| 99223 |
Prolong inpt eval add15 m |
1,289 |
984 |
$86K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
191 |
119 |
$61K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
39 |
$599.61 |
| 99233 |
Prolong inpt eval add15 m |
32 |
12 |
$241.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
24 |
$171.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |