| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
240 |
220 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
387 |
349 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
264 |
249 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
428 |
327 |
$243.89 |
| G0378 |
Hospital observation service, per hour |
15 |
15 |
$232.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
412 |
298 |
$228.29 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
130 |
116 |
$189.36 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
31 |
28 |
$154.54 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
27 |
$148.37 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
265 |
236 |
$132.77 |
| 71045 |
Radiologic examination, chest; single view |
200 |
181 |
$93.54 |
| 83735 |
|
247 |
184 |
$74.38 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$71.13 |
| 80076 |
|
159 |
146 |
$67.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
14 |
$63.85 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$56.14 |
| 81025 |
|
60 |
54 |
$51.05 |
| 84484 |
|
151 |
124 |
$49.07 |
| 82550 |
|
88 |
76 |
$32.36 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$23.19 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$23.19 |
| 83690 |
|
56 |
52 |
$15.00 |
| 85730 |
|
38 |
34 |
$12.30 |
| 85610 |
|
38 |
34 |
$6.56 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
15 |
$1.94 |
| A9270 |
Non-covered item or service |
285 |
170 |
$1.27 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
74 |
64 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$0.00 |
| 84100 |
|
21 |
14 |
$0.00 |