| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
68 |
67 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,533 |
1,431 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
191 |
167 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
69 |
68 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,065 |
958 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
88 |
87 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
240 |
236 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
78 |
61 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
109 |
97 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
36 |
32 |
$2K |
| 87400 |
|
105 |
101 |
$1K |
| 85027 |
|
151 |
145 |
$893.53 |
| 87486 |
|
68 |
67 |
$773.88 |
| 87581 |
|
68 |
67 |
$773.88 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
66 |
58 |
$412.63 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
14 |
$347.36 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
73 |
71 |
$182.72 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
13 |
$166.79 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17 |
12 |
$146.76 |
| 87430 |
|
12 |
12 |
$139.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
28 |
$135.30 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$135.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
24 |
$122.30 |
| 81001 |
|
42 |
37 |
$81.92 |
| 36415 |
Collection of venous blood by venipuncture |
3,047 |
2,679 |
$81.64 |
| 80061 |
Lipid panel |
23 |
23 |
$76.84 |
| 81003 |
|
31 |
27 |
$31.83 |
| 85610 |
|
23 |
18 |
$26.54 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
20 |
16 |
$10.72 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
131 |
121 |
$10.08 |