| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
263 |
253 |
$58K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
128 |
126 |
$33K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
599 |
584 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
138 |
138 |
$26K |
| 81001 |
|
187 |
178 |
$18K |
| 87070 |
|
60 |
60 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
68 |
$8K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
39 |
29 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
213 |
210 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
354 |
342 |
$3K |
| 81025 |
|
128 |
128 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
77 |
77 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
322 |
309 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
75 |
73 |
$889.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
71 |
$666.54 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
42 |
42 |
$404.96 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
110 |
109 |
$285.22 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
89 |
88 |
$111.71 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
93 |
92 |
$18.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
70 |
70 |
$0.00 |
| 87088 |
|
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
48 |
$0.00 |