| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
227 |
223 |
$25K |
| 80053 |
Comprehensive metabolic panel |
160 |
119 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
320 |
304 |
$10K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
158 |
109 |
$8K |
| 81001 |
|
73 |
70 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
247 |
207 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
180 |
143 |
$767.11 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$762.88 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$40.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
246 |
175 |
$6.85 |
| A9150 |
Non-prescription drugs |
119 |
95 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
12 |
$0.00 |
| 84703 |
|
61 |
59 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
41 |
39 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
215 |
210 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
19 |
12 |
$0.00 |