| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
160 |
156 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
85 |
83 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
23 |
22 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
13 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$2K |
| 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 |
53 |
52 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
44 |
44 |
$979.84 |
| 71045 |
Radiologic examination, chest; single view |
35 |
35 |
$264.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
38 |
$234.91 |
| 80053 |
Comprehensive metabolic panel |
30 |
29 |
$141.91 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
38 |
36 |
$115.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
82 |
78 |
$72.41 |
| 84484 |
|
33 |
28 |
$60.20 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
67 |
$21.77 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
13 |
$12.61 |
| 81001 |
|
16 |
16 |
$12.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
16 |
$8.16 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
30 |
29 |
$0.00 |