| Code | Description | Claims | Beneficiaries | Total Paid |
| 87430 |
|
1,627 |
1,536 |
$24K |
| 80053 |
Comprehensive metabolic panel |
3,250 |
2,655 |
$17K |
| 87400 |
|
896 |
846 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
526 |
368 |
$12K |
| 87070 |
|
976 |
925 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
231 |
$9K |
| 83735 |
|
2,778 |
2,287 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,746 |
2,311 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28 |
25 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
376 |
357 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$2K |
| 85027 |
|
341 |
282 |
$1K |
| 80061 |
Lipid panel |
222 |
215 |
$750.12 |
| 87420 |
|
60 |
53 |
$622.36 |
| 86308 |
|
51 |
49 |
$506.54 |
| 85007 |
|
338 |
280 |
$326.09 |
| 81003 |
|
167 |
152 |
$195.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
39 |
$143.52 |
| 36415 |
Collection of venous blood by venipuncture |
2,527 |
2,111 |
$77.36 |
| 82607 |
|
14 |
13 |
$66.75 |
| 90656 |
|
167 |
166 |
$26.94 |
| 85610 |
|
12 |
12 |
$8.65 |
| G0008 |
Administration of influenza virus vaccine |
167 |
166 |
$0.00 |