| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
415 |
280 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,487 |
$31K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
105 |
81 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
136 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
141 |
133 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
75 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
58 |
$943.65 |
| 80053 |
Comprehensive metabolic panel |
497 |
425 |
$597.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
29 |
$456.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$446.27 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
19 |
14 |
$410.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
476 |
412 |
$403.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$277.28 |
| 36415 |
Collection of venous blood by venipuncture |
789 |
621 |
$98.66 |
| 81001 |
|
220 |
201 |
$77.88 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$11.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |