| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
212 |
201 |
$76K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
171 |
162 |
$54K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
207 |
194 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
179 |
158 |
$5K |
| 87631 |
|
25 |
25 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
158 |
145 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,117 |
992 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,001 |
841 |
$940.42 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
158 |
148 |
$937.07 |
| 94760 |
|
45 |
43 |
$465.84 |
| 36415 |
Collection of venous blood by venipuncture |
887 |
804 |
$95.91 |
| 80061 |
Lipid panel |
188 |
188 |
$73.65 |
| 81001 |
|
113 |
109 |
$55.73 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
53 |
$39.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
64 |
$13.30 |
| 94761 |
|
38 |
33 |
$0.00 |
| 84484 |
|
40 |
31 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$0.00 |