| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97803 |
|
786 |
723 |
$42K |
| 0450 |
Emergency room services |
1,227 |
1,028 |
$25K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
647 |
577 |
$22K |
| 97802 |
|
326 |
315 |
$18K |
| 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 |
234 |
229 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
203 |
181 |
$667.08 |
| 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 |
217 |
213 |
$250.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$189.54 |
| 81001 |
|
30 |
28 |
$80.23 |
| 80053 |
Comprehensive metabolic panel |
25 |
24 |
$52.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
12 |
$19.98 |
| A4649 |
Surgical supply; miscellaneous |
70 |
40 |
$7.00 |
| J3490 |
Unclassified drugs |
54 |
40 |
$0.00 |
| 0250 |
|
137 |
97 |
$0.00 |
| 0636 |
|
42 |
26 |
$0.00 |