| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,138 |
3,914 |
$275K |
| 87428 |
|
3,568 |
3,406 |
$211K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,490 |
2,369 |
$96K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
302 |
288 |
$83K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,131 |
3,987 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,688 |
1,672 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,942 |
2,722 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,005 |
936 |
$24K |
| 80053 |
Comprehensive metabolic panel |
1,553 |
1,466 |
$19K |
| 87081 |
|
1,589 |
1,530 |
$15K |
| 87430 |
|
964 |
929 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
348 |
321 |
$11K |
| 80061 |
Lipid panel |
313 |
305 |
$6K |
| 87420 |
|
289 |
263 |
$6K |
| 87400 |
|
587 |
409 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
327 |
309 |
$4K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
12 |
12 |
$3K |
| 87807 |
|
175 |
162 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
101 |
100 |
$2K |
| 81001 |
|
363 |
333 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
72 |
68 |
$684.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$523.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
25 |
$335.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
12 |
$269.94 |
| 81003 |
|
69 |
62 |
$267.26 |
| 81025 |
|
37 |
37 |
$151.42 |
| 85018 |
|
43 |
42 |
$145.74 |
| 86308 |
|
14 |
13 |
$106.68 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$96.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
359 |
345 |
$56.66 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
68 |
50 |
$41.30 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$0.00 |