| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,966 |
7,115 |
$840K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
296 |
245 |
$139K |
| A0425 |
Ground mileage, per statute mile |
705 |
571 |
$132K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
937 |
720 |
$130K |
| 80053 |
Comprehensive metabolic panel |
2,444 |
2,207 |
$127K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,147 |
2,832 |
$115K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,373 |
1,200 |
$52K |
| 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 |
555 |
243 |
$44K |
| 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 |
237 |
108 |
$18K |
| 86140 |
|
183 |
170 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,511 |
1,348 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
94 |
$6K |
| 80305 |
|
27 |
25 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
26 |
$3K |
| 83605 |
|
42 |
29 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
31 |
30 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
28 |
26 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
38 |
37 |
$2K |
| 83735 |
|
44 |
43 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
25 |
24 |
$2K |
| 85027 |
|
43 |
40 |
$1K |
| 81001 |
|
63 |
56 |
$1K |
| 84484 |
|
30 |
27 |
$1K |
| J3490 |
Unclassified drugs |
339 |
206 |
$956.94 |
| 82077 |
|
14 |
14 |
$764.01 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$718.21 |