| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,616 |
834 |
$9K |
| 80053 |
Comprehensive metabolic panel |
947 |
622 |
$8K |
| 83735 |
|
678 |
257 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
398 |
168 |
$3K |
| 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 |
22 |
19 |
$2K |
| 84100 |
|
404 |
186 |
$1K |
| 81025 |
|
69 |
69 |
$508.53 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
80 |
79 |
$497.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
40 |
$285.13 |
| 81001 |
|
99 |
94 |
$244.30 |
| 85610 |
|
53 |
25 |
$194.00 |
| 81003 |
|
91 |
89 |
$157.80 |