| Code | Description | Claims | Beneficiaries | Total Paid |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
53 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
117 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$793.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
36 |
$188.50 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$131.67 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
37 |
$0.00 |