| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
163 |
149 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
105 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
656 |
528 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
185 |
160 |
$6K |
| 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 |
38 |
37 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
17 |
$507.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$307.44 |