| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
257 |
203 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
166 |
124 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22 |
13 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$678.45 |
| 80053 |
Comprehensive metabolic panel |
39 |
38 |
$316.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$175.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$164.34 |
| 80061 |
Lipid panel |
12 |
12 |
$131.01 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$32.04 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
13 |
$7.34 |