| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,287 |
930 |
$258K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50 |
45 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35 |
34 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
179 |
66 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
14 |
14 |
$572.00 |
| 80053 |
Comprehensive metabolic panel |
59 |
53 |
$77.08 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
68 |
62 |
$45.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
48 |
45 |
$25.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
119 |
103 |
$10.80 |
| 71045 |
Radiologic examination, chest; single view |
34 |
30 |
$0.00 |
| 81001 |
|
28 |
26 |
$0.00 |
| 84484 |
|
38 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
162 |
129 |
$0.00 |