| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87631 |
|
97 |
93 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
220 |
193 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
69 |
63 |
$4K |
| 80053 |
Comprehensive metabolic panel |
210 |
187 |
$3K |
| 87400 |
|
84 |
79 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
167 |
152 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
48 |
48 |
$802.55 |
| 99070 |
|
216 |
100 |
$395.19 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
14 |
$354.56 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$323.37 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$318.58 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12 |
12 |
$274.82 |
| 85027 |
|
25 |
21 |
$236.46 |
| 81001 |
|
58 |
49 |
$206.25 |
| 80061 |
Lipid panel |
12 |
12 |
$199.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
33 |
26 |
$198.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
26 |
$198.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$177.17 |
| 85007 |
|
16 |
12 |
$39.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
185 |
$0.00 |