| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
605 |
493 |
$80K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
598 |
541 |
$49K |
| A0425 |
Ground mileage, per statute mile |
304 |
203 |
$19K |
| 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 |
138 |
137 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
39 |
24 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
339 |
130 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
24 |
15 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
27 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
524 |
395 |
$561.21 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
14 |
$120.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
53 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
107 |
80 |
$0.00 |