| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,275 |
777 |
$183K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
575 |
408 |
$86K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
221 |
163 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
22 |
12 |
$864.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
13 |
$538.80 |
| 71045 |
Radiologic examination, chest; single view |
38 |
37 |
$469.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
564 |
413 |
$297.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
285 |
203 |
$226.32 |
| 82550 |
|
12 |
12 |
$23.97 |
| 87631 |
|
17 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
194 |
137 |
$0.00 |