| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
824 |
708 |
$56K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
102 |
77 |
$5K |
| 80053 |
Comprehensive metabolic panel |
333 |
316 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
469 |
416 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
29 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
99 |
97 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
13 |
$855.89 |
| 80061 |
Lipid panel |
56 |
55 |
$546.21 |
| 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 |
34 |
33 |
$498.93 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
12 |
$391.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
36 |
$256.48 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17 |
13 |
$156.07 |
| 84439 |
|
13 |
13 |
$98.58 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
255 |
$26.94 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
16 |
$0.00 |