| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
228 |
191 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
158 |
122 |
$3K |
| 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 |
93 |
79 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
53 |
52 |
$785.40 |
| 80053 |
Comprehensive metabolic panel |
463 |
396 |
$678.61 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
112 |
101 |
$677.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
183 |
$397.84 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
48 |
36 |
$160.75 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27 |
24 |
$119.80 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
190 |
$108.80 |
| 94760 |
|
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
51 |
29 |
$0.00 |