| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
802 |
748 |
$127K |
| Y7506 |
|
86 |
67 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
50 |
49 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$8K |
| X4011 |
State-specific procedure code |
33 |
24 |
$5K |
| 80053 |
Comprehensive metabolic panel |
206 |
197 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
139 |
135 |
$976.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
36 |
$968.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$494.60 |
| 87081 |
|
42 |
42 |
$294.16 |
| 87070 |
|
32 |
31 |
$268.53 |
| J3490 |
Unclassified drugs |
65 |
27 |
$11.08 |