| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,853 |
2,508 |
$109K |
| 97597 |
|
528 |
196 |
$35K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,265 |
971 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
660 |
514 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
143 |
126 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,514 |
1,087 |
$11K |
| 80053 |
Comprehensive metabolic panel |
2,055 |
1,553 |
$10K |
| 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 |
116 |
113 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,443 |
1,835 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
75 |
70 |
$3K |
| 83880 |
|
373 |
279 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
124 |
101 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
16 |
15 |
$2K |
| 84145 |
|
237 |
177 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
12 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
19 |
$878.75 |
| 85652 |
|
850 |
603 |
$875.11 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
107 |
77 |
$666.34 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
24 |
$532.38 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$519.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$519.60 |
| 81513 |
|
12 |
12 |
$484.96 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$462.81 |
| 84484 |
|
90 |
68 |
$369.82 |
| 71045 |
Radiologic examination, chest; single view |
52 |
38 |
$332.04 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
15 |
$254.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
24 |
$213.93 |
| 83735 |
|
38 |
27 |
$168.41 |
| 81001 |
|
67 |
51 |
$153.71 |
| 83690 |
|
13 |
12 |
$74.30 |
| 36415 |
Collection of venous blood by venipuncture |
1,226 |
832 |
$60.73 |
| 95886 |
|
95 |
92 |
$0.00 |
| 95911 |
|
42 |
42 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
34 |
28 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
38 |
27 |
$0.00 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
13 |
13 |
$0.00 |