| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
59 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
42 |
42 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$802.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
25 |
$319.83 |
| 87420 |
|
12 |
12 |
$157.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$107.38 |
| 81001 |
|
12 |
12 |
$37.56 |