| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
108 |
108 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
108 |
57 |
$5K |
| 77080 |
|
75 |
75 |
$866.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
117 |
70 |
$771.66 |
| 80164 |
|
42 |
33 |
$506.64 |
| 80061 |
Lipid panel |
35 |
34 |
$405.75 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$347.06 |
| 80053 |
Comprehensive metabolic panel |
35 |
29 |
$315.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
34 |
$300.07 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
17 |
$265.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
25 |
$220.48 |
| 80076 |
|
26 |
24 |
$165.88 |
| 80178 |
|
18 |
16 |
$105.84 |