| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
280 |
257 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50 |
50 |
$3K |
| 80053 |
Comprehensive metabolic panel |
293 |
260 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
461 |
397 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$610.54 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$174.14 |
| 81001 |
|
31 |
25 |
$41.96 |
| 36415 |
Collection of venous blood by venipuncture |
695 |
611 |
$13.31 |
| 81003 |
|
12 |
12 |
$9.06 |