| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
456 |
435 |
$78K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
770 |
726 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
65 |
65 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
824 |
775 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
818 |
782 |
$12K |
| 80053 |
Comprehensive metabolic panel |
445 |
406 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
425 |
393 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
744 |
660 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$1K |
| 81003 |
|
173 |
164 |
$331.60 |
| 87070 |
|
17 |
17 |
$149.78 |
| 80305 |
|
12 |
12 |
$114.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$103.68 |