| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,811 |
2,679 |
$777K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
73 |
68 |
$61K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
179 |
173 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
76 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
34 |
32 |
$4K |
| 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 |
40 |
39 |
$3K |
| 80053 |
Comprehensive metabolic panel |
94 |
88 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
103 |
$1K |
| 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 |
40 |
39 |
$932.03 |
| 87430 |
|
15 |
13 |
$405.84 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$0.00 |