| Code | Description | Claims | Beneficiaries | Total Paid |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
504 |
459 |
$1K |
| 80053 |
Comprehensive metabolic panel |
769 |
571 |
$693.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,053 |
590 |
$436.90 |
| 87430 |
|
142 |
132 |
$248.60 |
| 83735 |
|
460 |
279 |
$158.54 |
| 84484 |
|
232 |
170 |
$133.89 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
178 |
53 |
$96.08 |
| 83690 |
|
224 |
188 |
$63.37 |
| 81025 |
|
115 |
106 |
$41.83 |
| 81001 |
|
220 |
193 |
$40.44 |
| 85730 |
|
69 |
56 |
$39.68 |
| 85610 |
|
177 |
161 |
$37.42 |
| 81003 |
|
273 |
223 |
$25.03 |
| 84703 |
|
62 |
54 |
$20.61 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
42 |
40 |
$18.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$17.07 |
| 83880 |
|
48 |
41 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
152 |
115 |
$0.00 |