| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,018 |
936 |
$162K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
118 |
98 |
$130K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
627 |
501 |
$86K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
83 |
65 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
117 |
105 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
125 |
114 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
46 |
37 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
638 |
513 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
33 |
25 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
50 |
36 |
$1K |
| 80053 |
Comprehensive metabolic panel |
128 |
106 |
$876.48 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
13 |
$59.22 |
| 81001 |
|
14 |
12 |
$18.42 |