| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
674 |
629 |
$125K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
978 |
934 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,302 |
1,234 |
$69K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,149 |
1,111 |
$49K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
79 |
71 |
$31K |
| 87634 |
|
58 |
49 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
19 |
16 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
427 |
356 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
274 |
255 |
$577.20 |
| 80053 |
Comprehensive metabolic panel |
168 |
159 |
$361.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$329.92 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
58 |
43 |
$147.61 |
| 81000 |
|
16 |
13 |
$129.16 |
| 81025 |
|
13 |
12 |
$125.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$51.24 |
| 90688 |
|
14 |
14 |
$27.88 |
| 90686 |
|
16 |
16 |
$0.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |