| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
85 |
69 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
28 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
39 |
$5K |
| 80053 |
Comprehensive metabolic panel |
86 |
67 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
23 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
210 |
168 |
$1K |
| J3490 |
Unclassified drugs |
153 |
87 |
$636.80 |