| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
36 |
34 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
62 |
61 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
97 |
93 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
653 |
602 |
$443.65 |
| 80053 |
Comprehensive metabolic panel |
277 |
255 |
$196.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$7.75 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |