| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
643 |
470 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
671 |
566 |
$35K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
30 |
29 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
14 |
$8K |
| CP008 |
|
155 |
119 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
98 |
66 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
45 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,955 |
1,728 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,961 |
1,724 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
56 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
567 |
559 |
$384.29 |
| 81001 |
|
828 |
724 |
$260.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
530 |
529 |
$159.60 |
| 80061 |
Lipid panel |
528 |
524 |
$136.68 |
| 83690 |
|
12 |
12 |
$116.45 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
15 |
$115.80 |
| 87088 |
|
321 |
277 |
$110.01 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
107 |
107 |
$81.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$61.22 |
| 87400 |
|
23 |
17 |
$54.67 |
| 84436 |
|
54 |
53 |
$37.64 |
| 82550 |
|
13 |
12 |
$24.08 |
| 84484 |
|
13 |
12 |
$17.58 |
| 36415 |
Collection of venous blood by venipuncture |
3,078 |
2,490 |
$5.29 |
| 83735 |
|
13 |
13 |
$0.00 |
| 85610 |
|
13 |
12 |
$0.00 |