| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,489 |
2,372 |
$592K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,427 |
6,093 |
$250K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,530 |
2,423 |
$175K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,953 |
1,873 |
$33K |
| 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 |
310 |
294 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
305 |
255 |
$10K |
| 87070 |
|
660 |
637 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
457 |
427 |
$6K |
| 83655 |
|
310 |
299 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
751 |
693 |
$6K |
| 80053 |
Comprehensive metabolic panel |
616 |
568 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
383 |
$5K |
| 0002A |
|
71 |
70 |
$3K |
| 0001A |
|
71 |
70 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
40 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
83 |
$2K |
| 87430 |
|
107 |
104 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
22 |
20 |
$1K |
| 85014 |
|
227 |
221 |
$907.00 |
| 87088 |
|
13 |
13 |
$214.25 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
17 |
$161.10 |
| 81001 |
|
44 |
41 |
$145.10 |
| 71045 |
Radiologic examination, chest; single view |
25 |
24 |
$140.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
70 |
$112.42 |
| 81025 |
|
12 |
12 |
$58.44 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$43.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$18.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
32 |
$14.40 |
| 80305 |
|
393 |
311 |
$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 |
29 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
372 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
351 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
48 |
40 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
16 |
$0.00 |