| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,556 |
5,226 |
$257K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
878 |
804 |
$52K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
394 |
361 |
$10K |
| T1015 |
Clinic visit/encounter, all-inclusive |
351 |
335 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
122 |
106 |
$897.36 |
| 81001 |
|
38 |
22 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
30 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
33 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
64 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
17 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
16 |
$0.00 |