| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,398 |
1,361 |
$343K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
969 |
949 |
$85K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
150 |
140 |
$48K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
348 |
320 |
$47K |
| 87430 |
|
2,036 |
1,954 |
$43K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,062 |
1,035 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
321 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,015 |
944 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
201 |
190 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
90 |
89 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
418 |
363 |
$10K |
| 86756 |
|
356 |
342 |
$7K |
| 81002 |
|
1,674 |
1,258 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,844 |
2,383 |
$5K |
| 80053 |
Comprehensive metabolic panel |
2,572 |
2,153 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,354 |
1,214 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
112 |
107 |
$3K |
| 87631 |
|
25 |
25 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
904 |
887 |
$3K |
| 81001 |
|
1,607 |
1,434 |
$1K |
| 87186 |
|
773 |
685 |
$902.74 |
| 84439 |
|
618 |
613 |
$853.20 |
| 0240U |
|
15 |
12 |
$800.28 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$791.19 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
290 |
287 |
$542.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
883 |
873 |
$418.11 |
| 84484 |
|
138 |
92 |
$247.10 |
| 80061 |
Lipid panel |
658 |
653 |
$189.47 |
| 83880 |
|
42 |
37 |
$107.58 |
| 83735 |
|
110 |
103 |
$43.32 |
| 82550 |
|
13 |
12 |
$22.98 |
| 85730 |
|
13 |
12 |
$17.18 |
| 36415 |
Collection of venous blood by venipuncture |
3,417 |
2,565 |
$12.84 |
| 85610 |
|
13 |
12 |
$12.25 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
76 |
73 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
77 |
74 |
$0.00 |