| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
978 |
798 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
941 |
755 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
210 |
120 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
1,777 |
1,322 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
195 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
57 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
105 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
20 |
12 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$1K |
| 99001 |
|
33 |
26 |
$810.00 |
| 87430 |
|
13 |
12 |
$663.48 |