| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87631 |
|
180 |
170 |
$30K |
| 87428 |
|
329 |
314 |
$18K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
121 |
119 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
588 |
565 |
$15K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
15 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
241 |
233 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,170 |
1,063 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
946 |
875 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
282 |
281 |
$609.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
241 |
$85.14 |
| 80061 |
Lipid panel |
346 |
345 |
$37.56 |
| 84439 |
|
45 |
44 |
$29.67 |
| 36415 |
Collection of venous blood by venipuncture |
852 |
769 |
$0.00 |