| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
143 |
105 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
28 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
65 |
54 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$596.93 |
| 80053 |
Comprehensive metabolic panel |
53 |
49 |
$523.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
140 |
116 |
$459.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$339.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50 |
37 |
$153.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$97.76 |
| 83735 |
|
13 |
12 |
$15.31 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$0.75 |
| 36415 |
Collection of venous blood by venipuncture |
376 |
288 |
$0.44 |