| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
50 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
32 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
83 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$905.13 |
| 80053 |
Comprehensive metabolic panel |
757 |
583 |
$773.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
774 |
613 |
$486.46 |
| 86140 |
|
41 |
38 |
$181.17 |
| 36415 |
Collection of venous blood by venipuncture |
1,153 |
829 |
$1.37 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 86769 |
|
15 |
15 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |