| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,212 |
3,036 |
$1.11M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
176 |
161 |
$159K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
82 |
79 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
328 |
154 |
$11K |
| 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 |
132 |
128 |
$8K |
| 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 |
131 |
128 |
$2K |
| 80053 |
Comprehensive metabolic panel |
91 |
81 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
167 |
147 |
$1K |
| 81001 |
|
33 |
29 |
$210.97 |