| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,502 |
18,030 |
$958K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,223 |
3,065 |
$709K |
| 87428 |
|
3,364 |
3,283 |
$216K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,580 |
3,493 |
$93K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
718 |
706 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
41 |
40 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
183 |
173 |
$10K |
| 87400 |
|
645 |
392 |
$7K |
| 81003 |
|
1,740 |
1,681 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
355 |
343 |
$4K |
| 81025 |
|
517 |
498 |
$4K |
| 87420 |
|
102 |
102 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
148 |
$1K |
| 82550 |
|
156 |
147 |
$789.29 |
| 80051 |
|
155 |
147 |
$739.34 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$679.79 |
| 82565 |
|
155 |
147 |
$549.64 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$446.72 |
| 84520 |
|
155 |
147 |
$415.29 |
| 82947 |
|
144 |
137 |
$402.48 |
| 82150 |
|
24 |
24 |
$210.04 |
| 84460 |
|
24 |
24 |
$171.75 |
| 84075 |
|
24 |
24 |
$167.97 |
| 84450 |
|
24 |
24 |
$167.97 |
| 82247 |
|
24 |
24 |
$162.83 |
| 82040 |
|
24 |
24 |
$160.51 |
| 84155 |
|
24 |
24 |
$118.85 |
| 82977 |
|
12 |
12 |
$104.29 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$60.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$0.00 |