| Code | Description | Claims | Beneficiaries | Total Paid |
| 88307 |
|
108 |
108 |
$11K |
| 87631 |
|
56 |
54 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
52 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
62 |
61 |
$2K |
| 83655 |
|
94 |
94 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
96 |
95 |
$797.90 |
| 85027 |
|
108 |
108 |
$733.41 |
| 81001 |
|
132 |
128 |
$450.46 |