| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,503 |
3,260 |
$531K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
762 |
679 |
$201K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,002 |
835 |
$37K |
| 86769 |
|
872 |
764 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,043 |
852 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
300 |
284 |
$26K |
| 87276 |
|
975 |
937 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
824 |
713 |
$17K |
| 87430 |
|
852 |
819 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
101 |
95 |
$14K |
| 87275 |
|
992 |
951 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
300 |
285 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
52 |
49 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
144 |
$5K |
| 80053 |
Comprehensive metabolic panel |
2,433 |
1,833 |
$3K |
| 99215 |
Prolong outpt/office vis |
72 |
67 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,328 |
1,846 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
63 |
54 |
$2K |
| 87634 |
|
29 |
28 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
127 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
119 |
$1K |
| 87280 |
|
70 |
66 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,022 |
1,579 |
$519.49 |
| 84443 |
Thyroid stimulating hormone (TSH) |
492 |
472 |
$239.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
637 |
621 |
$163.35 |
| 81001 |
|
906 |
808 |
$143.49 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
54 |
51 |
$126.43 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
508 |
453 |
$100.78 |
| 80061 |
Lipid panel |
218 |
214 |
$38.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$34.77 |
| J7510 |
Prednisolone oral, per 5 mg |
13 |
12 |
$12.56 |
| 87186 |
|
141 |
106 |
$7.57 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
47 |
33 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| A9270 |
Non-covered item or service |
2,724 |
1,600 |
$0.00 |
| 87088 |
|
80 |
63 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |