| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
42 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
15 |
12 |
$596.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
29 |
$445.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$394.84 |
| 87070 |
|
12 |
12 |
$331.63 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
12 |
$300.00 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
96 |
$20.96 |