| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
361 |
334 |
$40K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
220 |
208 |
$36K |
| 94761 |
|
539 |
512 |
$17K |
| 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 |
70 |
63 |
$8K |
| CP008 |
|
74 |
57 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
196 |
184 |
$3K |
| 80053 |
Comprehensive metabolic panel |
596 |
553 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
843 |
715 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
60 |
58 |
$616.15 |
| 81001 |
|
413 |
387 |
$524.06 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
76 |
70 |
$400.57 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
24 |
$292.97 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$230.48 |
| 0240U |
|
27 |
26 |
$157.86 |
| 87088 |
|
53 |
50 |
$88.64 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
116 |
92 |
$77.47 |
| 84484 |
|
60 |
51 |
$53.86 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$32.26 |
| 36415 |
Collection of venous blood by venipuncture |
906 |
767 |
$1.00 |
| 0012A |
|
17 |
17 |
$0.00 |
| 83735 |
|
31 |
24 |
$0.00 |
| 0011A |
|
16 |
16 |
$0.00 |