| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
2,040 |
366 |
$81K |
| 80061 |
Lipid panel |
346 |
325 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
228 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
109 |
87 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,688 |
1,229 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
56 |
$4K |
| 87430 |
|
44 |
41 |
$2K |
| 84439 |
|
254 |
243 |
$2K |
| 87428 |
|
26 |
25 |
$469.76 |
| 82550 |
|
58 |
50 |
$249.60 |
| 82947 |
|
25 |
25 |
$69.39 |
| 84443 |
Thyroid stimulating hormone (TSH) |
423 |
396 |
$66.37 |
| 84450 |
|
15 |
14 |
$29.30 |
| 84460 |
|
15 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
60 |
52 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
30 |
$0.00 |