| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,394 |
1,906 |
$310K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,376 |
1,960 |
$194K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
415 |
300 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
556 |
445 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
519 |
430 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
249 |
201 |
$9K |
| 86328 |
|
213 |
194 |
$7K |
| 87400 |
|
540 |
238 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
839 |
613 |
$6K |
| 94760 |
|
249 |
209 |
$5K |
| 80053 |
Comprehensive metabolic panel |
643 |
494 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
173 |
119 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
122 |
$3K |
| 80061 |
Lipid panel |
217 |
168 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
65 |
42 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
501 |
262 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
40 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
795 |
628 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
200 |
185 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
69 |
$907.43 |
| A4670 |
Automatic blood pressure monitor |
76 |
58 |
$781.08 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
59 |
40 |
$751.20 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$722.53 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
13 |
$683.18 |
| 81001 |
|
198 |
164 |
$609.38 |
| H0033 |
Oral medication administration, direct observation |
367 |
247 |
$505.17 |
| 87807 |
|
33 |
27 |
$438.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
66 |
49 |
$435.00 |
| 82553 |
|
15 |
13 |
$75.55 |
| 84484 |
|
16 |
14 |
$64.35 |
| 83735 |
|
15 |
13 |
$61.39 |
| A9270 |
Non-covered item or service |
247 |
179 |
$51.65 |
| 82550 |
|
17 |
14 |
$41.01 |
| 81003 |
|
17 |
13 |
$17.90 |