| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,599 |
1,969 |
$74K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
365 |
247 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
370 |
353 |
$9K |
| 87276 |
|
730 |
494 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
418 |
$7K |
| 87275 |
|
730 |
494 |
$6K |
| 80053 |
Comprehensive metabolic panel |
679 |
457 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,009 |
675 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
151 |
121 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$568.80 |
| 81000 |
|
222 |
166 |
$543.25 |
| 71045 |
Radiologic examination, chest; single view |
259 |
85 |
$172.12 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
14 |
$122.30 |
| 83735 |
|
53 |
27 |
$113.62 |
| 83690 |
|
18 |
12 |
$72.72 |
| 82150 |
|
18 |
12 |
$72.63 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
53 |
$0.00 |
| 87040 |
|
101 |
29 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
21 |
13 |
$0.00 |