| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
748 |
586 |
$65K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
366 |
286 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,325 |
1,239 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544 |
512 |
$22K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,248 |
1,142 |
$15K |
| 87428 |
|
173 |
162 |
$7K |
| 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 |
113 |
100 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
87 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,639 |
1,348 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,101 |
983 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
176 |
167 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,397 |
1,214 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
217 |
209 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
180 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
20 |
19 |
$1K |
| 80061 |
Lipid panel |
124 |
123 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$912.19 |
| 87081 |
|
45 |
42 |
$190.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$129.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
30 |
$109.26 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
16 |
$106.33 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
15 |
$72.71 |
| 84439 |
|
12 |
12 |
$61.57 |
| 87070 |
|
14 |
14 |
$59.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18 |
12 |
$57.00 |
| 83735 |
|
26 |
25 |
$53.65 |
| 81001 |
|
13 |
12 |
$16.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
62 |
54 |
$12.74 |
| 99000 |
|
16 |
16 |
$0.62 |
| 1159F |
|
1,139 |
1,012 |
$0.00 |
| 3078F |
|
832 |
759 |
$0.00 |
| 1033F |
|
99 |
83 |
$0.00 |
| 3077F |
|
39 |
36 |
$0.00 |
| 3075F |
|
65 |
63 |
$0.00 |
| 3074F |
|
965 |
880 |
$0.00 |
| 1036F |
|
285 |
273 |
$0.00 |
| 2000F |
|
1,053 |
940 |
$0.00 |
| 3079F |
|
213 |
199 |
$0.00 |
| 2010F |
|
1,254 |
1,107 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 1125F |
|
67 |
63 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |