| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
122 |
111 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
256 |
240 |
$16K |
| 80053 |
Comprehensive metabolic panel |
216 |
177 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
227 |
196 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
24 |
$1K |
| 86756 |
|
16 |
14 |
$933.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
35 |
$687.11 |
| 36415 |
Collection of venous blood by venipuncture |
217 |
172 |
$175.10 |