| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
25 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
32 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$883.34 |
| 81002 |
|
50 |
50 |
$372.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
16 |
$225.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
39 |
$150.45 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
25 |
$0.00 |