| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
635 |
572 |
$183K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
941 |
831 |
$171K |
| 36415 |
Collection of venous blood by venipuncture |
846 |
750 |
$58K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
126 |
115 |
$48K |
| G0378 |
Hospital observation service, per hour |
14 |
12 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
43 |
41 |
$6K |
| 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 |
46 |
40 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
113 |
93 |
$3K |
| 80053 |
Comprehensive metabolic panel |
59 |
50 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
23 |
17 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
15 |
$1K |
| 81001 |
|
58 |
53 |
$992.49 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
32 |
28 |
$820.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$560.84 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
13 |
$510.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
14 |
$28.36 |