| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,798 |
1,695 |
$465K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
129 |
120 |
$102K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
145 |
137 |
$26K |
| 87428 |
|
324 |
308 |
$19K |
| 87430 |
|
256 |
244 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,211 |
1,062 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
27 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
74 |
71 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
101 |
97 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
941 |
818 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
33 |
$1K |
| 99001 |
|
24 |
24 |
$755.37 |
| 81001 |
|
156 |
149 |
$132.79 |
| 81025 |
|
15 |
13 |
$119.81 |
| 84443 |
Thyroid stimulating hormone (TSH) |
256 |
256 |
$78.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28 |
27 |
$49.40 |
| 80061 |
Lipid panel |
97 |
97 |
$27.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
121 |
$13.30 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
67 |
64 |
$12.35 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$11.05 |
| 36415 |
Collection of venous blood by venipuncture |
1,350 |
1,179 |
$3.06 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
112 |
102 |
$0.00 |
| 85027 |
|
150 |
147 |
$0.00 |
| 84484 |
|
28 |
26 |
$0.00 |
| 83690 |
|
13 |
12 |
$0.00 |