| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
18 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
14 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$1K |
| 80053 |
Comprehensive metabolic panel |
26 |
24 |
$331.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
30 |
$299.84 |
| 85610 |
|
17 |
13 |
$80.49 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$0.00 |