| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
588 |
568 |
$3K |
| 80053 |
Comprehensive metabolic panel |
141 |
136 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
36 |
$740.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
92 |
88 |
$645.40 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$468.48 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$450.00 |
| 80076 |
|
13 |
12 |
$129.09 |
| 36415 |
Collection of venous blood by venipuncture |
1,317 |
1,127 |
$0.00 |