| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
267 |
245 |
$63K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
313 |
294 |
$52K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
288 |
263 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
683 |
$19K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
133 |
130 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
25 |
25 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
81 |
70 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
51 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
88 |
85 |
$870.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,095 |
990 |
$818.62 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
245 |
222 |
$505.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
60 |
$417.63 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13 |
12 |
$317.21 |
| 80053 |
Comprehensive metabolic panel |
267 |
253 |
$257.04 |
| 36415 |
Collection of venous blood by venipuncture |
199 |
183 |
$168.42 |
| 81000 |
|
213 |
204 |
$125.73 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
58 |
53 |
$99.24 |
| 80076 |
|
24 |
24 |
$67.00 |
| 84484 |
|
58 |
52 |
$63.00 |
| 83690 |
|
13 |
13 |
$28.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$8.00 |
| 81025 |
|
41 |
41 |
$6.81 |
| 85610 |
|
12 |
12 |
$0.00 |
| 85730 |
|
12 |
12 |
$0.00 |