| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
184 |
152 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
95 |
$1K |
| 87430 |
|
69 |
59 |
$882.20 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
21 |
17 |
$603.26 |
| 87070 |
|
44 |
38 |
$435.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
55 |
$355.08 |
| 80053 |
Comprehensive metabolic panel |
68 |
42 |
$335.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
56 |
$0.00 |