| 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 |
118 |
112 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
78 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
12 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$638.00 |
| 80053 |
Comprehensive metabolic panel |
753 |
691 |
$354.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
750 |
686 |
$159.78 |
| 36415 |
Collection of venous blood by venipuncture |
858 |
754 |
$1.17 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$0.00 |