| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
818 |
792 |
$53K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
540 |
373 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
78 |
78 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
50 |
49 |
$7K |
| 80053 |
Comprehensive metabolic panel |
721 |
633 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
138 |
92 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
84 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
91 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
56 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
566 |
520 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
59 |
37 |
$1K |
| 87081 |
|
154 |
148 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
57 |
$588.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$450.18 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$440.16 |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
36 |
$405.32 |
| 86140 |
|
68 |
61 |
$318.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
19 |
$188.20 |
| 87581 |
|
12 |
12 |
$147.17 |
| 87486 |
|
12 |
12 |
$147.17 |
| 82248 |
|
39 |
36 |
$135.03 |
| 87186 |
|
12 |
12 |
$108.54 |
| 87077 |
|
12 |
12 |
$86.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$81.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17 |
12 |
$73.43 |
| 85610 |
|
19 |
13 |
$47.66 |
| 80061 |
Lipid panel |
13 |
13 |
$45.78 |
| 36415 |
Collection of venous blood by venipuncture |
1,232 |
1,059 |
$20.01 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$11.34 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
392 |
379 |
$5.75 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$2.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
36 |
$0.00 |