| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,638 |
1,388 |
$254K |
| X4011 |
State-specific procedure code |
208 |
197 |
$38K |
| Y7506 |
|
61 |
56 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
164 |
154 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
195 |
155 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$569.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
66 |
$408.00 |
| X4003 |
|
33 |
27 |
$209.72 |
| 80053 |
Comprehensive metabolic panel |
62 |
53 |
$137.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
70 |
$119.55 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
18 |
15 |
$49.71 |
| 81001 |
|
61 |
51 |
$30.36 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$0.00 |