| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,048 |
977 |
$452K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,488 |
1,351 |
$353K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
299 |
266 |
$279K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
490 |
430 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
230 |
224 |
$13K |
| 87631 |
|
105 |
84 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
55 |
52 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
289 |
278 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
322 |
315 |
$2K |
| 80053 |
Comprehensive metabolic panel |
81 |
65 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53 |
48 |
$193.35 |
| 94760 |
|
29 |
29 |
$172.44 |
| 87081 |
|
14 |
14 |
$85.42 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$60.57 |
| 81003 |
|
43 |
41 |
$43.40 |
| 86141 |
|
23 |
13 |
$32.64 |