| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
67 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
65 |
$886.07 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$712.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
70 |
$295.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
19 |
$276.28 |
| 80053 |
Comprehensive metabolic panel |
49 |
40 |
$261.77 |
| 81001 |
|
33 |
25 |
$82.32 |
| 99070 |
|
18 |
14 |
$13.78 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
211 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
12 |
$0.00 |