| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
777 |
588 |
$19K |
| 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 |
15 |
14 |
$867.00 |
| 88300 |
|
96 |
69 |
$608.89 |
| 88307 |
|
13 |
12 |
$523.41 |
| 88304 |
|
45 |
41 |
$463.75 |
| 88342 |
|
19 |
13 |
$307.60 |
| 88312 |
|
16 |
13 |
$213.87 |
| 88112 |
|
13 |
13 |
$145.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
405 |
249 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
228 |
161 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
79 |
24 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
30 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |