| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
947 |
394 |
$96K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
745 |
707 |
$81K |
| 87081 |
|
491 |
466 |
$55K |
| X4003 |
|
427 |
421 |
$38K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
166 |
107 |
$11K |
| 81002 |
|
32 |
32 |
$4K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
31 |
25 |
$3K |
| G0380 |
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
27 |
27 |
$2K |
| Y7506 |
|
13 |
13 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
22 |
20 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$1K |