| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14,671 |
11,222 |
$629K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
747 |
687 |
$52K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
258 |
232 |
$25K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
53 |
53 |
$6K |
| 80053 |
Comprehensive metabolic panel |
2,093 |
1,804 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,062 |
1,817 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
552 |
504 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
321 |
308 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
82 |
71 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
183 |
161 |
$1K |
| 80061 |
Lipid panel |
458 |
452 |
$916.75 |
| 0250 |
|
155 |
87 |
$605.72 |
| 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 |
68 |
68 |
$587.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
130 |
127 |
$550.61 |
| 83735 |
|
310 |
264 |
$537.29 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
38 |
$497.43 |
| 71045 |
Radiologic examination, chest; single view |
160 |
149 |
$473.88 |
| 81001 |
|
666 |
570 |
$282.14 |
| 36415 |
Collection of venous blood by venipuncture |
2,010 |
1,647 |
$267.52 |
| 84100 |
|
499 |
430 |
$222.66 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
53 |
53 |
$212.98 |
| 82043 |
|
371 |
333 |
$197.08 |
| 82540 |
|
378 |
340 |
$184.51 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$99.52 |
| 81015 |
|
69 |
65 |
$89.08 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$36.69 |
| 85610 |
|
30 |
27 |
$33.77 |
| 85730 |
|
13 |
12 |
$6.99 |
| 85027 |
|
95 |
87 |
$5.71 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$3.36 |
| 90653 |
|
12 |
12 |
$3.35 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
15 |
12 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |
| 86592 |
|
25 |
25 |
$0.00 |