| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
286 |
275 |
$69K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,003 |
966 |
$49K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
409 |
398 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
486 |
463 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
195 |
189 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
225 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
169 |
$2K |
| 87802 |
|
175 |
169 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
46 |
45 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
167 |
152 |
$1K |
| 87081 |
|
139 |
135 |
$1K |
| 87420 |
|
18 |
18 |
$295.05 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
27 |
$254.37 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$229.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$188.06 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$129.58 |
| 81001 |
|
12 |
12 |
$36.16 |