| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,018 |
1,906 |
$614K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
281 |
55 |
$105K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
367 |
343 |
$94K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
410 |
385 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
110 |
105 |
$31K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
244 |
237 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
363 |
327 |
$2K |
| 80053 |
Comprehensive metabolic panel |
215 |
215 |
$2K |
| 80061 |
Lipid panel |
133 |
133 |
$753.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
43 |
$388.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
45 |
45 |
$362.25 |
| 85027 |
|
120 |
108 |
$334.88 |
| 80076 |
|
24 |
24 |
$260.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$28.80 |