| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,012 |
3,686 |
$432K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,981 |
2,615 |
$169K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,006 |
479 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
182 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
330 |
232 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
136 |
95 |
$11K |
| 80053 |
Comprehensive metabolic panel |
2,079 |
1,810 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
45 |
45 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
627 |
569 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
12 |
$739.56 |
| 97605 |
|
21 |
12 |
$693.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
609 |
427 |
$427.20 |
| 85027 |
|
2,256 |
1,962 |
$327.31 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
675 |
598 |
$224.76 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
275 |
239 |
$155.04 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
208 |
184 |
$75.56 |
| G0378 |
Hospital observation service, per hour |
53 |
27 |
$75.56 |
| 71045 |
Radiologic examination, chest; single view |
192 |
169 |
$16.79 |
| 83735 |
|
121 |
105 |
$14.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$10.46 |
| 81003 |
|
28 |
25 |
$0.00 |
| 84702 |
|
98 |
91 |
$0.00 |
| 81001 |
|
111 |
101 |
$0.00 |
| 83690 |
|
25 |
24 |
$0.00 |
| 84484 |
|
14 |
12 |
$0.00 |