| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
520 |
456 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
121 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
569 |
505 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
33 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$152.28 |
| 81003 |
|
20 |
16 |
$46.86 |
| 36415 |
Collection of venous blood by venipuncture |
970 |
810 |
$20.08 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
15 |
$0.00 |