| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
1,559 |
196 |
$176K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
636 |
625 |
$75K |
| 36415 |
Collection of venous blood by venipuncture |
64 |
54 |
$31K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
529 |
509 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
879 |
848 |
$19K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
249 |
181 |
$15K |
| 80053 |
Comprehensive metabolic panel |
108 |
90 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
437 |
390 |
$11K |
| 87081 |
|
256 |
249 |
$8K |
| 87634 |
|
34 |
34 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
270 |
133 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
12 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
12 |
$1K |
| 81003 |
|
13 |
12 |
$512.87 |
| 87807 |
|
35 |
35 |
$35.12 |
| A9270 |
Non-covered item or service |
38 |
12 |
$0.00 |