| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22 |
13 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
99 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
69 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23 |
13 |
$3K |
| 80053 |
Comprehensive metabolic panel |
115 |
101 |
$985.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$761.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
103 |
88 |
$425.00 |
| 36415 |
Collection of venous blood by venipuncture |
346 |
266 |
$161.34 |