| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,126 |
1,081 |
$158K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
913 |
891 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
188 |
184 |
$43K |
| 86328 |
|
859 |
835 |
$37K |
| 86769 |
|
865 |
841 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,194 |
1,176 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
25 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
478 |
472 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
38 |
36 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
103 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
202 |
197 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$821.60 |
| 80053 |
Comprehensive metabolic panel |
66 |
63 |
$669.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$663.03 |
| 87807 |
|
56 |
56 |
$661.96 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$509.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
39 |
$251.02 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$232.43 |
| 80305 |
|
13 |
13 |
$129.73 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
24 |
24 |
$124.78 |
| J3490 |
Unclassified drugs |
12 |
12 |
$0.00 |