| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87631 |
|
115 |
108 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
79 |
79 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
397 |
361 |
$3K |
| 83655 |
|
149 |
132 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
49 |
$828.59 |
| 81001 |
|
240 |
219 |
$751.88 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
30 |
$653.34 |
| 80061 |
Lipid panel |
44 |
43 |
$587.01 |
| 85027 |
|
88 |
77 |
$547.46 |
| 80053 |
Comprehensive metabolic panel |
17 |
13 |
$149.63 |