| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
266 |
256 |
$138K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
659 |
411 |
$50K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
49 |
37 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
126 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
55 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,053 |
747 |
$1K |
| 80053 |
Comprehensive metabolic panel |
859 |
650 |
$737.59 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
14 |
$702.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$22.86 |
| 81001 |
|
55 |
51 |
$19.41 |
| 36415 |
Collection of venous blood by venipuncture |
432 |
293 |
$0.00 |