| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
752 |
547 |
$4K |
| 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 |
51 |
51 |
$4K |
| 80053 |
Comprehensive metabolic panel |
468 |
407 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
153 |
100 |
$862.70 |
| 81025 |
|
117 |
115 |
$819.28 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
12 |
$461.79 |
| 84484 |
|
30 |
26 |
$361.97 |
| 83735 |
|
79 |
40 |
$352.09 |
| 81001 |
|
110 |
104 |
$287.81 |
| 83690 |
|
43 |
43 |
$250.66 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
26 |
$178.00 |
| 84702 |
|
13 |
13 |
$172.51 |
| 82947 |
|
35 |
12 |
$168.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$96.10 |
| 81003 |
|
40 |
40 |
$73.92 |