| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
11,003 |
8,962 |
$527K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
358 |
319 |
$24K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
146 |
135 |
$17K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
146 |
144 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
87 |
82 |
$7K |
| 0510 |
|
185 |
182 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,150 |
1,051 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,471 |
1,316 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
169 |
153 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
390 |
381 |
$1K |
| 0250 |
|
317 |
253 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,053 |
1,766 |
$831.62 |
| 80053 |
Comprehensive metabolic panel |
767 |
659 |
$592.62 |
| 80061 |
Lipid panel |
111 |
109 |
$290.43 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
92 |
87 |
$254.23 |
| 85610 |
|
277 |
226 |
$245.14 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$155.38 |
| 81001 |
|
150 |
142 |
$123.57 |
| 83735 |
|
30 |
26 |
$99.94 |
| 80076 |
|
42 |
41 |
$96.06 |
| 84484 |
|
17 |
14 |
$29.34 |
| 85027 |
|
87 |
77 |
$29.21 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
13 |
13 |
$8.49 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
13 |
13 |
$1.98 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |
| 82043 |
|
27 |
27 |
$0.00 |
| 82540 |
|
27 |
27 |
$0.00 |
| 92134 |
|
13 |
13 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
16 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$0.00 |