| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,227 |
2,142 |
$263K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,777 |
1,736 |
$88K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
297 |
287 |
$24K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
118 |
111 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
354 |
343 |
$14K |
| 87634 |
|
143 |
141 |
$13K |
| 87400 |
|
684 |
667 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
219 |
219 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,913 |
1,675 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,668 |
3,040 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,196 |
1,918 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
41 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
95 |
93 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
95 |
93 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
68 |
63 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
648 |
597 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
370 |
357 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
105 |
96 |
$1K |
| 81001 |
|
928 |
849 |
$1K |
| 87070 |
|
91 |
91 |
$922.92 |
| 87420 |
|
41 |
41 |
$780.44 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$577.10 |
| 87430 |
|
22 |
22 |
$449.48 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
42 |
39 |
$312.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
329 |
324 |
$231.43 |
| 87088 |
|
138 |
129 |
$193.55 |
| 83690 |
|
29 |
28 |
$134.50 |
| 80061 |
Lipid panel |
247 |
243 |
$70.23 |
| 84484 |
|
39 |
38 |
$50.07 |
| 87077 |
|
34 |
32 |
$44.62 |
| 87186 |
|
28 |
26 |
$32.17 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
12 |
$15.89 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
102 |
102 |
$0.00 |
| 85027 |
|
19 |
15 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |