| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
129 |
122 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
87 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,043 |
848 |
$949.44 |
| 80053 |
Comprehensive metabolic panel |
363 |
314 |
$929.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
86 |
$797.15 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
15 |
$677.20 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
59 |
56 |
$391.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
301 |
261 |
$338.24 |
| 85027 |
|
78 |
70 |
$241.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
24 |
$106.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
15 |
$102.62 |
| 90674 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |