| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,370 |
1,918 |
$1.18M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,659 |
4,003 |
$1.17M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,176 |
2,106 |
$157K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,213 |
1,179 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,226 |
1,193 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,286 |
1,244 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,624 |
1,470 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
62 |
50 |
$14K |
| 85007 |
|
1,897 |
1,706 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
38 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
145 |
131 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
181 |
151 |
$3K |
| 87807 |
|
134 |
131 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
35 |
28 |
$3K |
| 81000 |
|
958 |
893 |
$2K |
| 81001 |
|
411 |
382 |
$2K |
| 84484 |
|
82 |
65 |
$772.21 |
| 36415 |
Collection of venous blood by venipuncture |
887 |
765 |
$434.92 |
| 83690 |
|
27 |
27 |
$391.94 |
| 90694 |
|
26 |
25 |
$328.02 |
| 82150 |
|
13 |
13 |
$259.36 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
16 |
$93.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
35 |
$91.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25 |
25 |
$82.51 |
| A9270 |
Non-covered item or service |
62 |
41 |
$1.36 |