| Code | Description | Claims | Beneficiaries | Total Paid |
| 88307 |
|
321 |
320 |
$29K |
| 80053 |
Comprehensive metabolic panel |
1,413 |
864 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,102 |
1,001 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
226 |
204 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
222 |
93 |
$847.05 |
| 83735 |
|
234 |
156 |
$763.70 |
| 80074 |
|
32 |
25 |
$615.68 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$296.36 |
| 84484 |
|
78 |
50 |
$276.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
24 |
$92.80 |
| 81025 |
|
52 |
40 |
$84.53 |