| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,106 |
624 |
$137K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
332 |
183 |
$56K |
| A0425 |
Ground mileage, per statute mile |
260 |
113 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
21 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
22 |
13 |
$970.82 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
17 |
$583.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
15 |
$0.00 |
| 83605 |
|
24 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
27 |
14 |
$0.00 |
| 87631 |
|
25 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$0.00 |