| Code | Description | Claims | Beneficiaries | Total Paid |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
241 |
229 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
493 |
239 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
540 |
507 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
12 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
13 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84 |
78 |
$826.32 |
| 81003 |
|
31 |
31 |
$100.97 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
180 |
176 |
$0.00 |