| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,719 |
4,415 |
$833K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,617 |
3,262 |
$375K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,180 |
2,970 |
$328K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
439 |
376 |
$150K |
| A0425 |
Ground mileage, per statute mile |
893 |
720 |
$133K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
581 |
525 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,730 |
3,184 |
$62K |
| 36415 |
Collection of venous blood by venipuncture |
5,105 |
4,467 |
$53K |
| 80053 |
Comprehensive metabolic panel |
1,964 |
1,748 |
$42K |
| 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 |
396 |
370 |
$38K |
| J3490 |
Unclassified drugs |
1,477 |
888 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
241 |
228 |
$8K |
| 80061 |
Lipid panel |
291 |
283 |
$8K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
241 |
221 |
$7K |
| 87631 |
|
31 |
29 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
321 |
284 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
90 |
87 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
152 |
152 |
$3K |
| 0240U |
|
17 |
13 |
$2K |
| 83735 |
|
54 |
53 |
$889.47 |
| 81001 |
|
13 |
12 |
$411.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$391.97 |
| 0011A |
|
13 |
13 |
$329.65 |