| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
194 |
191 |
$53K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
114 |
109 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
41 |
41 |
$7K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
30 |
26 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
145 |
138 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
59 |
55 |
$1K |
| A0425 |
Ground mileage, per statute mile |
54 |
41 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
44 |
$922.75 |
| 80053 |
Comprehensive metabolic panel |
650 |
544 |
$726.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
823 |
672 |
$483.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$249.97 |
| 87400 |
|
12 |
12 |
$151.00 |
| 81001 |
|
141 |
124 |
$117.15 |
| 80061 |
Lipid panel |
23 |
22 |
$23.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
71 |
$13.30 |
| 87088 |
|
28 |
25 |
$1.80 |
| 87186 |
|
29 |
25 |
$0.00 |
| J3490 |
Unclassified drugs |
20 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,669 |
1,193 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
60 |
50 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$0.00 |