| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
14 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
36 |
$969.40 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
34 |
30 |
$931.35 |
| 80053 |
Comprehensive metabolic panel |
70 |
64 |
$784.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
59 |
$294.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$200.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
30 |
$122.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
33 |
$64.22 |
| 81003 |
|
48 |
44 |
$52.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
128 |
$7.96 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
64 |
$3.00 |