| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$483.60 |
| 80053 |
Comprehensive metabolic panel |
22 |
17 |
$385.85 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
23 |
14 |
$256.45 |
| 86140 |
|
20 |
17 |
$171.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
17 |
$134.10 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
24 |
$0.00 |