| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,912 |
1,829 |
$185K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
190 |
177 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
27 |
27 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
92 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
142 |
141 |
$987.29 |
| 80053 |
Comprehensive metabolic panel |
107 |
104 |
$856.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$584.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.40 |
| 80061 |
Lipid panel |
12 |
12 |
$127.01 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$37.38 |