| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
56 |
$3K |
| 80053 |
Comprehensive metabolic panel |
289 |
245 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
46 |
40 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
43 |
$997.89 |
| 36415 |
Collection of venous blood by venipuncture |
1,002 |
775 |
$860.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
162 |
129 |
$501.46 |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
32 |
$488.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$368.85 |
| 87400 |
|
31 |
29 |
$293.39 |
| 80061 |
Lipid panel |
14 |
13 |
$242.45 |
| 84439 |
|
19 |
18 |
$226.54 |
| 85027 |
|
27 |
26 |
$210.84 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$185.73 |
| 87430 |
|
14 |
12 |
$177.28 |
| 87070 |
|
12 |
12 |
$136.07 |