| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,765 |
1,625 |
$223K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
272 |
247 |
$34K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
33 |
30 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
484 |
448 |
$304.27 |
| 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 |
21 |
21 |
$232.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
405 |
363 |
$170.87 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$97.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
243 |
$93.53 |
| 85027 |
|
239 |
214 |
$62.06 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$57.99 |
| 80053 |
Comprehensive metabolic panel |
74 |
67 |
$20.60 |
| 87070 |
|
61 |
56 |
$9.00 |
| 81003 |
|
12 |
12 |
$1.50 |
| 81025 |
|
14 |
14 |
$0.00 |
| 81001 |
|
58 |
56 |
$0.00 |
| 83735 |
|
13 |
13 |
$0.00 |