| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,803 |
2,663 |
$844K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
305 |
289 |
$169K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,709 |
1,618 |
$162K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
56 |
$23K |
| 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 |
55 |
54 |
$6K |
| 80053 |
Comprehensive metabolic panel |
690 |
645 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
656 |
601 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
56 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$744.03 |
| 81001 |
|
338 |
316 |
$722.09 |
| 0225U |
|
18 |
18 |
$374.54 |
| 87420 |
|
12 |
12 |
$365.82 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
25 |
$204.33 |
| 87070 |
|
13 |
12 |
$159.11 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| 84484 |
|
14 |
12 |
$0.00 |