| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,071 |
2,810 |
$42K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43 |
39 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
383 |
319 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
187 |
166 |
$8K |
| 80053 |
Comprehensive metabolic panel |
240 |
203 |
$8K |
| 87400 |
|
81 |
77 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
33 |
24 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
498 |
459 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
53 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
82 |
80 |
$1K |
| 0012A |
|
50 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$405.00 |
| 0001A |
|
13 |
13 |
$363.97 |
| 0002A |
|
12 |
12 |
$336.90 |
| 0011A |
|
21 |
21 |
$305.76 |
| 0064A |
|
13 |
13 |
$286.53 |
| 91301 |
|
119 |
118 |
$0.10 |
| 91300 |
|
27 |
27 |
$0.00 |