| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,223 |
1,151 |
$621K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,974 |
2,781 |
$540K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
355 |
340 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,058 |
924 |
$60K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
729 |
656 |
$43K |
| 80050 |
General health panel |
133 |
129 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
966 |
472 |
$22K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
823 |
767 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
616 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,502 |
1,390 |
$13K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
108 |
91 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,523 |
1,419 |
$9K |
| 80061 |
Lipid panel |
681 |
670 |
$7K |
| 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 |
39 |
39 |
$6K |
| 99001 |
|
406 |
382 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
324 |
321 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
81 |
74 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
479 |
442 |
$2K |
| 81000 |
|
314 |
297 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
126 |
122 |
$742.56 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
40 |
$463.06 |
| 87807 |
|
13 |
13 |
$237.43 |
| 81025 |
|
12 |
12 |
$124.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
29 |
$93.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$78.49 |
| 36415 |
Collection of venous blood by venipuncture |
617 |
547 |
$46.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$27.36 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
14 |
$0.00 |
| 91300 |
|
86 |
75 |
$0.00 |