| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
373 |
260 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
79 |
76 |
$14K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$3K |
| 80053 |
Comprehensive metabolic panel |
165 |
148 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50 |
28 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
229 |
218 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
16 |
$598.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
21 |
$563.42 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
25 |
$371.98 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
34 |
$348.56 |
| 85027 |
|
16 |
14 |
$200.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$90.30 |
| 99070 |
|
47 |
34 |
$51.60 |
| 85007 |
|
17 |
15 |
$46.93 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
16 |
16 |
$1.04 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
55 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
64 |
$0.00 |