| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,264 |
968 |
$72K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
337 |
222 |
$22K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
324 |
185 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
277 |
216 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
335 |
176 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
116 |
66 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
26 |
16 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
14 |
$1K |
| 80053 |
Comprehensive metabolic panel |
426 |
257 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
496 |
290 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
23 |
$973.89 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
20 |
13 |
$657.16 |
| 36415 |
Collection of venous blood by venipuncture |
769 |
491 |
$565.60 |
| 87081 |
|
100 |
63 |
$278.56 |
| 81001 |
|
134 |
78 |
$94.24 |
| 82150 |
|
64 |
41 |
$90.72 |
| 81003 |
|
59 |
29 |
$82.82 |
| 84484 |
|
47 |
24 |
$67.51 |
| 80061 |
Lipid panel |
25 |
16 |
$65.76 |
| 83690 |
|
63 |
40 |
$51.08 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
20 |
12 |
$43.98 |
| 83880 |
|
18 |
12 |
$40.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
23 |
18 |
$33.72 |
| 80076 |
|
14 |
12 |
$33.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
13 |
$12.81 |
| 85730 |
|
22 |
14 |
$12.57 |
| 83735 |
|
21 |
14 |
$10.41 |
| 82550 |
|
21 |
13 |
$10.12 |
| 85610 |
|
22 |
14 |
$8.22 |
| 84100 |
|
21 |
14 |
$7.38 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
19 |
12 |
$0.00 |