| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
428 |
418 |
$62K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
39 |
39 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
63 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
13 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$443.48 |
| 80053 |
Comprehensive metabolic panel |
276 |
249 |
$261.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
251 |
221 |
$139.60 |
| 36415 |
Collection of venous blood by venipuncture |
282 |
256 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |