| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
451 |
381 |
$23K |
| 87631 |
|
110 |
102 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
127 |
113 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
292 |
234 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
120 |
110 |
$4K |
| 80053 |
Comprehensive metabolic panel |
388 |
342 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,218 |
998 |
$2K |
| 99000 |
|
41 |
38 |
$753.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
286 |
235 |
$437.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$326.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
21 |
$190.63 |