| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
170 |
157 |
$120K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
710 |
696 |
$118K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
319 |
288 |
$76K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
446 |
423 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
91 |
91 |
$11K |
| 87486 |
|
170 |
157 |
$10K |
| 87581 |
|
170 |
157 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
88 |
76 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
791 |
661 |
$915.99 |
| 80053 |
Comprehensive metabolic panel |
535 |
451 |
$713.50 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
42 |
13 |
$711.15 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
64 |
52 |
$682.98 |
| 83880 |
|
17 |
15 |
$231.05 |
| 81001 |
|
262 |
236 |
$197.40 |
| 84484 |
|
73 |
51 |
$161.48 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
13 |
$133.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
75 |
75 |
$95.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
61 |
54 |
$95.00 |
| 83605 |
|
17 |
12 |
$81.72 |
| 36415 |
Collection of venous blood by venipuncture |
733 |
617 |
$43.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$31.37 |
| 87186 |
|
12 |
12 |
$30.57 |
| 82550 |
|
13 |
12 |
$15.32 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |