| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,286 |
1,205 |
$176K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
31 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
594 |
569 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
112 |
111 |
$781.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$535.58 |
| 80050 |
General health panel |
14 |
14 |
$421.36 |
| 80053 |
Comprehensive metabolic panel |
44 |
44 |
$398.82 |
| 87150 |
|
12 |
12 |
$374.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
44 |
$372.16 |