| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
3,275 |
2,583 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
819 |
719 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
241 |
201 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
136 |
106 |
$8K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
28 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$783.58 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$370.98 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
12 |
$0.00 |