| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,004 |
2,757 |
$535K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
933 |
849 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,313 |
1,686 |
$8K |
| 80053 |
Comprehensive metabolic panel |
221 |
189 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
252 |
203 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
55 |
48 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
194 |
177 |
$2K |
| 0450 |
Emergency room services |
30 |
29 |
$1K |
| 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 |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
297 |
244 |
$813.75 |
| 71045 |
Radiologic examination, chest; single view |
113 |
95 |
$699.04 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$522.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$316.76 |
| 83735 |
|
28 |
25 |
$245.75 |
| 99070 |
|
16 |
16 |
$212.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
28 |
$200.01 |
| 84484 |
|
13 |
12 |
$193.44 |
| 73562 |
|
12 |
12 |
$101.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
455 |
$12.38 |