| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43 |
36 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
16 |
$814.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
188 |
142 |
$746.71 |
| 80053 |
Comprehensive metabolic panel |
44 |
40 |
$523.89 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$440.91 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$309.30 |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$156.28 |
| 81001 |
|
50 |
39 |
$131.64 |
| Q3014 |
Telehealth originating site facility fee |
14 |
12 |
$123.39 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
19 |
$0.00 |