| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
64 |
60 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
59 |
49 |
$3K |
| 87430 |
|
126 |
121 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
124 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$157.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
81 |
53 |
$86.40 |
| 80053 |
Comprehensive metabolic panel |
105 |
65 |
$51.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
13 |
$51.31 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
13 |
$5.02 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$0.00 |