| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,467 |
2,295 |
$420K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,731 |
3,359 |
$201K |
| 87428 |
|
1,388 |
1,357 |
$164K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
569 |
509 |
$144K |
| 80053 |
Comprehensive metabolic panel |
499 |
442 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,859 |
1,808 |
$44K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
138 |
112 |
$38K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,266 |
2,092 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
522 |
396 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
2,064 |
1,756 |
$29K |
| 80050 |
General health panel |
163 |
148 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
652 |
579 |
$21K |
| 83690 |
|
459 |
403 |
$18K |
| 82550 |
|
787 |
680 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
242 |
233 |
$17K |
| 84484 |
|
392 |
327 |
$15K |
| 83605 |
|
513 |
440 |
$14K |
| 82150 |
|
324 |
283 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
287 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
185 |
156 |
$8K |
| 82553 |
|
104 |
96 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
34 |
28 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
179 |
139 |
$3K |
| 82800 |
|
195 |
172 |
$3K |
| 0001A |
|
64 |
64 |
$3K |
| 86140 |
|
100 |
89 |
$3K |
| 0002A |
|
56 |
56 |
$3K |
| 83735 |
|
93 |
86 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
47 |
38 |
$2K |
| 85730 |
|
66 |
59 |
$2K |
| 83986 |
|
107 |
90 |
$2K |
| 0011A |
|
42 |
41 |
$2K |
| 81001 |
|
57 |
51 |
$1K |
| 87807 |
|
13 |
13 |
$1K |
| 0012A |
|
37 |
37 |
$1K |
| 85652 |
|
61 |
53 |
$1K |
| 0072A |
|
29 |
27 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
24 |
$961.89 |
| 85610 |
|
73 |
64 |
$807.71 |
| 36416 |
|
62 |
57 |
$805.96 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$720.99 |
| 85018 |
|
46 |
44 |
$626.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$615.45 |
| 0071A |
|
14 |
14 |
$600.30 |
| 81002 |
|
27 |
26 |
$266.38 |
| 90686 |
|
12 |
12 |
$71.43 |
| A9270 |
Non-covered item or service |
40 |
40 |
$0.00 |