| Code | Description | Claims | Beneficiaries | Total Paid |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
167 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$412.74 |
| 87400 |
|
171 |
166 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
77 |
$0.00 |
| 81003 |
|
29 |
29 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
232 |
202 |
$0.00 |
| 87807 |
|
82 |
76 |
$0.00 |
| 87081 |
|
62 |
60 |
$0.00 |
| 81001 |
|
95 |
87 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
123 |
105 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |