| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,210 |
2,102 |
$641K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,256 |
2,198 |
$250K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
343 |
317 |
$48K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
798 |
769 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,054 |
512 |
$17K |
| 80053 |
Comprehensive metabolic panel |
1,996 |
1,714 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,476 |
2,085 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
510 |
458 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
241 |
223 |
$1K |
| 81001 |
|
361 |
335 |
$981.43 |
| 70450 |
Computed tomography, head or brain; without contrast material |
43 |
39 |
$916.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
60 |
$901.40 |
| 84484 |
|
341 |
283 |
$366.84 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
143 |
129 |
$352.86 |
| 87807 |
|
26 |
25 |
$322.99 |
| 87070 |
|
25 |
25 |
$140.64 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
35 |
30 |
$58.44 |
| 83690 |
|
40 |
39 |
$57.90 |
| 85610 |
|
147 |
131 |
$53.49 |
| 84703 |
|
14 |
13 |
$34.54 |
| 83880 |
|
12 |
12 |
$32.98 |
| 83735 |
|
19 |
13 |
$22.52 |
| 82803 |
|
13 |
12 |
$21.90 |
| 83605 |
|
14 |
13 |
$9.72 |
| 85730 |
|
17 |
13 |
$5.05 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
13 |
$1.52 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
32 |
26 |
$0.00 |