| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
378 |
348 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
79 |
57 |
$3K |
| 85027 |
|
178 |
160 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
50 |
39 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
161 |
147 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
32 |
$730.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
40 |
$496.14 |
| 36415 |
Collection of venous blood by venipuncture |
544 |
452 |
$428.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$175.74 |
| 81003 |
|
62 |
56 |
$75.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
13 |
$13.03 |