| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
592 |
496 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
709 |
394 |
$14K |
| 80053 |
Comprehensive metabolic panel |
924 |
802 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
879 |
747 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
112 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
86 |
72 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
126 |
29 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
431 |
131 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$1K |
| 0270 |
|
134 |
66 |
$656.62 |
| 81001 |
|
132 |
119 |
$442.25 |
| 99070 |
|
61 |
56 |
$421.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$296.66 |
| 80061 |
Lipid panel |
13 |
13 |
$216.07 |