| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
407 |
397 |
$261K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,598 |
1,543 |
$107K |
| 99001 |
|
2,683 |
2,555 |
$43K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32 |
31 |
$36K |
| 81514 |
|
133 |
127 |
$30K |
| 80053 |
Comprehensive metabolic panel |
696 |
633 |
$4K |
| 87490 |
|
163 |
157 |
$3K |
| 80050 |
General health panel |
15 |
13 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
567 |
519 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
82 |
$2K |
| 80061 |
Lipid panel |
198 |
193 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
107 |
$711.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
34 |
$493.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$446.38 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$434.83 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
13 |
$95.64 |
| 36415 |
Collection of venous blood by venipuncture |
1,070 |
978 |
$66.00 |