| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
238 |
236 |
$3K |
| 81185 |
|
61 |
61 |
$2K |
| 81321 |
|
70 |
69 |
$916.70 |
| 87481 |
|
237 |
235 |
$756.54 |
| 81309 |
|
61 |
61 |
$527.51 |
| 81189 |
|
61 |
61 |
$527.51 |
| 81286 |
|
25 |
25 |
$258.18 |
| 87653 |
|
237 |
235 |
$241.43 |
| 87640 |
|
238 |
236 |
$241.43 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
238 |
236 |
$241.43 |
| 81192 |
|
27 |
27 |
$194.76 |
| 81191 |
|
27 |
27 |
$194.76 |
| 81339 |
|
12 |
12 |
$181.50 |
| 81279 |
|
12 |
12 |
$181.50 |
| 87631 |
|
49 |
49 |
$139.78 |
| 81256 |
|
61 |
61 |
$130.00 |
| 81171 |
|
25 |
25 |
$128.73 |
| 81312 |
|
25 |
25 |
$128.70 |
| 81329 |
|
25 |
25 |
$128.70 |
| 81271 |
|
25 |
25 |
$128.70 |
| 81232 |
|
25 |
25 |
$123.17 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
49 |
$93.88 |
| 87634 |
|
48 |
48 |
$68.80 |
| 81243 |
|
25 |
25 |
$53.58 |
| 86413 |
|
48 |
48 |
$50.40 |
| 87556 |
|
48 |
48 |
$40.85 |
| 81260 |
|
25 |
25 |
$36.92 |
| 87496 |
|
49 |
49 |
$34.39 |
| 87581 |
|
49 |
49 |
$34.39 |
| 87541 |
|
49 |
49 |
$34.39 |
| 87498 |
|
49 |
49 |
$34.39 |
| 87486 |
|
49 |
49 |
$34.39 |
| 87532 |
|
49 |
49 |
$34.39 |
| 87503 |
|
49 |
49 |
$28.64 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
34 |
$24.86 |
| 80061 |
Lipid panel |
87 |
83 |
$11.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
35 |
$8.16 |
| 81003 |
|
13 |
12 |
$0.00 |
| 87641 |
|
12 |
12 |
$0.00 |
| 81249 |
|
19 |
19 |
$0.00 |
| 81291 |
|
13 |
13 |
$0.00 |
| 81175 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 82652 |
|
36 |
36 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
89 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
104 |
98 |
$0.00 |
| 87500 |
|
12 |
12 |
$0.00 |
| 81255 |
|
13 |
13 |
$0.00 |
| 81325 |
|
13 |
13 |
$0.00 |
| 81236 |
|
13 |
13 |
$0.00 |
| 81200 |
|
13 |
13 |
$0.00 |
| 81302 |
|
37 |
37 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
100 |
93 |
$0.00 |
| 81251 |
|
13 |
13 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
15 |
14 |
$0.00 |
| 81001 |
|
34 |
34 |
$0.00 |
| 83021 |
|
30 |
30 |
$0.00 |