| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
171 |
167 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
110 |
71 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32 |
24 |
$6K |
| Y7506 |
|
59 |
36 |
$5K |
| 80053 |
Comprehensive metabolic panel |
237 |
183 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
230 |
217 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
186 |
156 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
33 |
33 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
19 |
14 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
27 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
198 |
$1K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
48 |
48 |
$674.91 |
| 86710 |
|
14 |
14 |
$156.20 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
15 |
$11.69 |